Ethan Feuerborn, DO - Medicare Internal Medicine in Albuquerque, NM

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Ethan Feuerborn, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is Msc10 5550, 1 University Of New Mexico, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-4661.

Ethan Feuerborn is licensed to practice in New Mexico (license number DO2024-0083) 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 1629418280.

Contact Information

Ethan Feuerborn, DO
Msc10 5550, 1 University Of New Mexico,
Albuquerque, NM 87131
(505) 272-4661
(505) 272-0475

Map and Direction




Physician's Profile

Full NameEthan Feuerborn
GenderMale
SpecialityInternal Medicine
Experience11 Years
LocationMsc10 5550, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. 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 Feuerborn attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2013
  NPI Data:
  • NPI Number: 1629418280
  • Provider Enumeration Date: 06/27/2013
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2264750066
  • Enrollment ID: I20170728003034

Medical Identifiers

Medical identifiers for Ethan Feuerborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629418280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine DO2024-0083 (New Mexico)Secondary
207R00000XInternal Medicine 256825 (Massachusetts)Secondary
207R00000XInternal Medicine O-1045 (Idaho)Secondary
390200000XStudent In An Organized Health Care Education/training Program DO2024-0083 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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 Feuerborn allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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 Feuerborn 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 AddressPractice Location Address
Ethan Feuerborn, DO
Msc10 5550, 1 University Of New Mexico,
Albuquerque, NM 87131

Ph: (505) 272-4661		Ethan Feuerborn, DO
Msc10 5550, 1 University Of New Mexico,
Albuquerque, NM 87131

Ph: (505) 272-4661

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.