Ethan Jesse Speir, MD in Marietta, GA

Ethan Jesse Speir, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Marietta, Georgia. His current practice location is 790 Church St Ne Ste 400, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 405-2976.

Ethan Jesse Speir is licensed to practice in Georgia (license number 99453) 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 1992202121.

Contact Information

	Ethan Jesse Speir, MD
	790 Church St Ne Ste 400, Marietta, GA 30060-8957
	(770) 405-2976
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Jesse Speir
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	790 Church St Ne Ste 400, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992202121
Provider Enumeration Date: 04/13/2018
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 3476803875
Enrollment ID: I20180905003589

Medical Identifiers

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

Identifier	Type	State	Issuer
1992202121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	99453 (Georgia)	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 Jesse Speir 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 Jesse Speir, MD Po Box 3157, Indianapolis, IN 46206-3157 Ph: (770) 405-2976	Ethan Jesse Speir, MD 790 Church St Ne Ste 400, Marietta, GA 30060-8957 Ph: (770) 405-2976

Reviews and Comments

Radiology Doctors in Marietta, GA

Dr. Chris Chan Moo Sung, Radiology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976
Dr. Thomas Patrick Murphy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976
Nancy Chioma Okechukwu, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 678-239-0420
James E Robertson, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899
Thomas W Hinz, MD Radiology Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899
Dr. Joseph H Moyers, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne, Ste 400, Marietta, GA 30060 Phone: 770-952-8899
Dr. Elaine Grace Khatod, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 790 Church St Ne Ste 400, Marietta, GA 30060 Phone: 770-405-2976

Ethan Jesse Speir, MD - Medicare Radiology in Marietta, GA