Dr Ethan Baughman, MD PHD is a medicare enrolled "Plastic Surgery" physician in Westlake Village, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Grossman Medical Group Inc and his current practice location is
32144 Agoura Rd Ste 220, Westlake Village, California. You can reach out to his office (for appointments etc.) via phone at
(805) 409-7537.
Dr Ethan Baughman is licensed to practice in California (license number A158793) 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 1619316783.
Physician's Profile
| Full Name | Dr Ethan Baughman |
|---|
| Gender | Male |
|---|
| Speciality | Plastic And Reconstructive Surgery |
|---|
| Experience | 11 Years |
|---|
| Location | 32144 Agoura Rd Ste 220, Westlake Village, California |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Ethan Baughman graduated from medical school in 2013
NPI Data:
- NPI Number: 1619316783
- Provider Enumeration Date: 06/21/2013
- Last Update Date: 06/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507095791
- Enrollment ID: I20191025002295
Medical Identifiers
Medical identifiers for Dr Ethan Baughman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619316783 | NPI | - | NPPES |
| 200062362 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 2013020089 (Missouri) | Secondary |
| 208200000X | Plastic Surgery | A158793 (California) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan Baughman allows following entities to bill medicare on his behalf.
| Entity Name | Grossman Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1518916311
PECOS PAC ID: 8729090295
Enrollment ID: O20060627000168 |
|---|
| Entity Name | Ethan J Baughman Md Inc A Medical Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770050460
PECOS PAC ID: 8325370232
Enrollment ID: O20191025002225 |
|---|
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 Baughman 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 Baughman, MD PHD
1560 Newbury Rd Ste 1,
Thousand Oaks, CA 91320-3448
Ph: () - | Dr Ethan Baughman, MD PHD
32144 Agoura Rd Ste 220,
Westlake Village, CA 91361-4057
Ph: (805) 409-7537 |
Reviews and Comments