Ethan Kenji Craig, MD in Williamsville, NY

Ethan Kenji Craig, MD is a medicare enrolled "Surgery" physician in Williamsville, New York. His current practice location is 111 N Maplemere Rd Ste 100, Williamsville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 833-7112.

Ethan Kenji Craig is licensed to practice in New York (license number 327603) 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 1114414513.

Contact Information

	Ethan Kenji Craig, MD
	111 N Maplemere Rd Ste 100, Williamsville, NY 14221-3182
	(716) 833-7112
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Kenji Craig
Gender	Male
Speciality	Surgery
Location	111 N Maplemere Rd Ste 100, Williamsville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114414513
Provider Enumeration Date: 04/20/2018
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6204173370
Enrollment ID: I20230622001162

Medical Identifiers

Medical identifiers for Ethan Kenji Craig such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114414513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME162962 (Florida)	Secondary
208600000X	Surgery	327603 (New York)	Primary

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 Kenji Craig allows following entities to bill medicare on his behalf.

Entity Name	University Of Miami
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006

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 Kenji Craig 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 Kenji Craig, MD 111 N Maplemere Rd Ste 100, Williamsville, NY 14221-3182 Ph: (716) 833-7112	Ethan Kenji Craig, MD 111 N Maplemere Rd Ste 100, Williamsville, NY 14221-3182 Ph: (716) 833-7112

Reviews and Comments

Surgery Doctors in Williamsville, NY

Jonathan C Reynhout, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6333 Main St, Williamsville, NY 14221 Phone: 716-631-8400 Fax: 716-631-8408
Dr. Ajay N Panchal, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6044 Main St Ste 110, Williamsville, NY 14221 Phone: 716-833-7112
Joseph Anthony Caruana, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 N Union Rd, Ste 104, Williamsville, NY 14221 Phone: 716-565-3990 Fax: 716-565-3988
Jessica Martinolich, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1150 Youngs Rd Ste 205, Williamsville, NY 14221 Phone: 716-636-9004
Lyndsay Ann Gutierrez-panchal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 180 Park Club Ln, Williamsville, NY 14221 Phone: 716-332-6834 Fax: 716-332-6856
Dr. Eyad M Wohaibi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2150 Wehrle Dr Ste 300, Williamsville, NY 14221 Phone: 716-453-5200 Fax: 716-710-8075

Ethan Kenji Craig, MD - Medicare Surgery in Williamsville, NY