Ethan Alexander Hiles, in Orange Park, FL - Medicare Internal Medicine

Ethan Alexander Hiles, is a medicare enrolled "Internal Medicine" physician in Orange Park, Florida. His current practice location is 2001 Kingsley Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 639-8500.

Ethan Alexander Hiles is licensed to practice in Ohio (license number 34.017166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275150971.

Contact Information

	Ethan Alexander Hiles,
	2001 Kingsley Ave, Orange Park, FL 32073-5148
	(904) 639-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Alexander Hiles
Gender	Male
Speciality	Internal Medicine
Location	2001 Kingsley Ave, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275150971
Provider Enumeration Date: 06/29/2020
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7618371394
Enrollment ID: I20240821003952

Medical Identifiers

Medical identifiers for Ethan Alexander Hiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275150971	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	34.017166 (Ohio)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Ethan Alexander Hiles allows following entities to bill medicare on his behalf.

Entity Name	Apogee Medical Group Ohio Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477500999 PECOS PAC ID: 8224082292 Enrollment ID: O20050311000733

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. Ethan Alexander Hiles 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
Ethan Alexander Hiles, 2265 Kraft Dr, Blacksburg, VA 24060-6360 Ph: () -	Ethan Alexander Hiles, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-8500

Reviews and Comments

Internal Medicine Doctors in Orange Park, FL

Payal Paresh Patel Shooliz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 102, Orange Park, FL 32073 Phone: 904-215-2510 Fax: 904-215-1515
Mark Anthony Stawara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748
Eugene H Mccoskey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Kingsley Ave Ste 404, Orange Park, FL 32073 Phone: 904-441-1111 Fax: 904-441-1111
Dr. Nadeem Maalouli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-0600 Fax: 904-213-0303
Omer Ismaeel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2140 Kingsley Ave Ste 1, Orange Park, FL 32073 Phone: 904-368-6809
Shradha Pokharel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2021 Kingsley Ave, Suite 101, Orange Park, FL 32073 Phone: 904-298-2113 Fax: 904-298-1922
Charles Edward Phillips, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2035 Professional Ctr Dr, Ste C, Orange Park, FL 32073 Phone: 904-272-0384 Fax: 904-272-6748

Ethan Alexander Hiles, - Medicare Internal Medicine in Orange Park, FL