Ethan B Wilson, MD in Corvallis, OR - Medicare Emergency Medicine

Ethan B Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Corvallis, Oregon. His current practice location is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-5021.

Ethan B Wilson is licensed to practice in Oregon (license number 11896) 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 1447364104.

Contact Information

	Ethan B Wilson, MD
	3600 Nw Samaritan Dr, Corvallis, OR 97330-3737
	(541) 768-5021
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan B Wilson
Gender	Male
Speciality	Emergency Medicine
Location	3600 Nw Samaritan Dr, Corvallis, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447364104
Provider Enumeration Date: 08/19/2006
Last Update Date: 11/12/2007

Medicare PECOS Information:

PECOS PAC ID: 7719878602
Enrollment ID: I20040615001599

Medical Identifiers

Medical identifiers for Ethan B Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447364104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	11896 (Oregon)	Primary

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 B Wilson allows following entities to bill medicare on his behalf.

Entity Name	Mary's Peak Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194733360 PECOS PAC ID: 4688565559 Enrollment ID: O20040322000521

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 B Wilson 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 B Wilson, MD Po Box 48068, Jacksonville, FL 32247-8068 Ph: (866) 898-7148	Ethan B Wilson, MD 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-5021

Reviews and Comments

Emergency Medicine Doctors in Corvallis, OR

Larry Dwayne Sebring, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 850 Sw 26th St, Corvallis, OR 97331 Phone: 541-737-9355
Robert Schweiss, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Dr. Brent C. Wesenberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5234 Sw Philomath Blvd, Corvallis, OR 97333 Phone: 541-768-4970
Dr. Benjamin Robert Oldson, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1282
Brian Lee Delmonaco, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111
Ronald U Vallejo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Ethan B Wilson, MD - Medicare Emergency Medicine in Corvallis, OR