Ethan Ray Freeborn, MD in Radford, VA - Medicare Emergency Medicine

Ethan Ray Freeborn, MD is a medicare enrolled "Emergency Medicine" physician in Radford, Virginia. He went to University Of Virginia School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lake Spring Emergency Group Llc and his current practice location is 2900 Lamb Circle, Radford, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 731-2866.

Ethan Ray Freeborn is licensed to practice in Virginia (license number 0101241319) 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 1336338656.

Contact Information

	Ethan Ray Freeborn, MD
	2900 Lamb Circle, Radford, VA 24141
	(540) 731-2866
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Ray Freeborn
Gender	Male
Speciality	Emergency Medicine
Experience	20 Years
Location	2900 Lamb Circle, Radford, Virginia
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 Ray Freeborn attended and graduated from University Of Virginia School Of Medicine in 2004

NPI Data:

NPI Number: 1336338656
Provider Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007

Medicare PECOS Information:

PECOS PAC ID: 4688754757
Enrollment ID: I20071231000574

Medical Identifiers

Medical identifiers for Ethan Ray Freeborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336338656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101241319 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lewisgale Medical Center	Salem, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Spring Emergency Group Llc	6406103498	40

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 Ray Freeborn allows following entities to bill medicare on his behalf.

Entity Name	Lake Spring Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173

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 Ray Freeborn 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 Ray Freeborn, MD 557 Cherokee Trail, Blacksburg, VA 24060 Ph: (540) 552-4589	Ethan Ray Freeborn, MD 2900 Lamb Circle, Radford, VA 24141 Ph: (540) 731-2866

Ethan Ray Freeborn, MD - Medicare Emergency Medicine in Radford, VA