Ethan Coucke, DO in Petoskey, MI - Medicare Hospitalist

Ethan Coucke, DO is a medicare enrolled "Internal Medicine" physician in Petoskey, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Mclaren Northern Michigan and his current practice location is 416 Connable Ave, Petoskey, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 487-7969.

Ethan Coucke is licensed to practice in Michigan (license number 5101023447) 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 1487188710.

Contact Information

	Ethan Coucke, DO
	416 Connable Ave, Petoskey, MI 49770-2212
	(231) 487-7969
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Coucke
Gender	Male
Speciality	Hospitalist
Experience	7 Years
Location	416 Connable Ave, Petoskey, Michigan
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:

Ethan Coucke attended and graduated from Michigan State University College Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1487188710
Provider Enumeration Date: 04/13/2017
Last Update Date: 11/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6305264235
Enrollment ID: I20200909002453

Medical Identifiers

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

Identifier	Type	State	Issuer
1487188710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5101023447 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mclaren Northern Michigan	Petoskey, MI	Hospital
Midmichigan Medical Center - Alpena	Alpena, MI	Hospital
Chippewa County War Memorial Hospital	Sault sainte marie, MI	Hospital
Midmichigan Medical Center-midland	Midland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mclaren Northern Michigan	9931018181	73

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 Coucke allows following entities to bill medicare on his behalf.

Entity Name	Mclaren Northern Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193

Entity Name	Apogee Medical Group Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053655134 PECOS PAC ID: 9931347879 Enrollment ID: O20130604000688

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 Coucke 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 Coucke, DO 15235 Hough Rd, Allenton, MI 48002-3613 Ph: (810) 656-1884	Ethan Coucke, DO 416 Connable Ave, Petoskey, MI 49770-2212 Ph: (231) 487-7969

Reviews and Comments

Internal Medicine Doctors in Petoskey, MI

Gary H Shaw, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-487-7303 Fax: 231-487-7313
Dr. Janean Haggins-dabney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-922-9270 Fax: 231-922-9271
Dr. Vira C Heise, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Suite 300, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596
John L Diedrich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596
Dr. Peter E. Levanovich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Suite 400, Petoskey, MI 49770 Phone: 231-487-2490 Fax: 231-487-6055
Dr. Kim Aikens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7336 Preserve Ct, Petoskey, MI 49770 Phone: 231-347-5265
Mark A Richmond, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St, Petoskey, MI 49770 Phone: 231-487-2460 Fax: 231-487-6596

Ethan Coucke, DO - Medicare Hospitalist in Petoskey, MI