Ethan Gilde, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Famington Hills, Michigan. His current practice location is
27555 Middlebelt Rd., Famington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 478-5512.
Ethan Gilde is licensed to practice in Ohio (license number 34.016018) 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 1871083378.
Physician's Profile
| Full Name | Ethan Gilde |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 27555 Middlebelt Rd., Famington Hills, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871083378
- Provider Enumeration Date: 05/10/2018
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143579482
- Enrollment ID: I20220908001954
Medical Identifiers
Medical identifiers for Ethan Gilde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871083378 | NPI | - | NPPES |
| 0306635 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 34.016018 (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 Gilde allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Center For Neurological Disorders Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699728972
PECOS PAC ID: 4082501853
Enrollment ID: O20040304000612 |
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| Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790308104
PECOS PAC ID: 4284059981
Enrollment ID: O20200728003692 |
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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 Gilde 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 |
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Ethan Gilde, DO
27555 Middlebelt Rd.,
Famington Hills, MI 48334
Ph: (248) 478-5512 | Ethan Gilde, DO
27555 Middlebelt Rd.,
Famington Hills, MI 48334
Ph: (248) 478-5512 |
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