Dr Ethan B Colliver, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Blacksburg, Virginia. His current practice location is
120 Professional Park Dr Se Ste 7, Blacksburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 443-3832.
Dr Ethan B Colliver is licensed to practice in Virginia (license number 0102202357) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184803330.
Physician's Profile
| Full Name | Dr Ethan B Colliver |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 120 Professional Park Dr Se Ste 7, Blacksburg, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ethan B Colliver attended and graduated from in
NPI Data:
- NPI Number: 1184803330
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 12/16/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Ethan B Colliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184803330 | NPI | - | NPPES |
| 1184803330 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 0102202357 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan B Colliver is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ethan B Colliver, DO
120 Professional Park Dr Se Ste 7,
Blacksburg, VA 24060-6739
Ph: (540) 443-3832 | Dr Ethan B Colliver, DO
120 Professional Park Dr Se Ste 7,
Blacksburg, VA 24060
Ph: (540) 443-3832 |
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