Ethan Feuerborn, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Albuquerque, New Mexico. 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.
Physician's Profile
Full Name | Ethan Feuerborn |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | Msc10 5550, Albuquerque, New Mexico |
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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. |
Medical Education and Training:
- Ethan Feuerborn attended and graduated from in
NPI Data:
- NPI Number: 1629418280
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 06/24/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ethan Feuerborn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629418280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | DO2024-0083 (New Mexico) | Secondary |
207R00000X | Internal Medicine | 256825 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | O-1045 (Idaho) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | DO2024-0083 (New Mexico) | 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. 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 Address | Practice 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 |
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