Ethan James Porter, DO - Medicare Hospitalist in Rolla, MO

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Ethan James Porter, DO is a medicare enrolled "Hospitalist" physician in Rolla, Missouri. His current practice location is 1000 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-9000.

Ethan James Porter is licensed to practice in Missouri (license number 2024035388) 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 1194306126.

Contact Information

Ethan James Porter, DO
1000 W 10th St,
Rolla, MO 65401-2905
(573) 364-9000
(573) 202-2484

Map and Direction




Physician's Profile

Full NameEthan James Porter
GenderMale
SpecialityHospitalist
Location1000 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194306126
  • Provider Enumeration Date: 04/20/2021
  • Last Update Date: 10/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002211711
  • Enrollment ID: I20210818002646

Medical Identifiers

Medical identifiers for Ethan James Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194306126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2024035388 (Missouri)Secondary
208M00000XHospitalist 2024035388 (Missouri)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 James Porter 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 James Porter, DO
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 364-9000		Ethan James Porter, DO
1000 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 364-9000

Reviews and Comments


Hospitalist Doctors in Rolla, MO

Dr. Nurelign G. Abebe, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1050 West 10th Street, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-458-8489
Mr. Gregory D Gibbs, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    
Ms. Chimnoya N Nwagwu-youlo, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    
Todd G Riggs, DO
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-659-4515

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.