Dr Ethan Baughman, MD PHD is a medicare enrolled "Plastic Surgery" physician in Westlake Village, California. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 32144 Agoura Rd Ste 220, Westlake Village, California |
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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 Baughman attended and graduated from in
NPI Data:
- NPI Number: 1619316783
- Provider Enumeration Date: 06/21/2013
- Last Update Date: 06/17/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
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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 |
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