Ethan Stephens, DO - Medicare Family Medicine in Jackson, OH

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Ethan Stephens, DO is a medicare enrolled "Family Medicine" physician in Jackson, Ohio. His current practice location is 280 Pattonsville Rd, Jackson, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 446-5937.

Ethan Stephens is licensed to practice in Ohio (license number 34.016718) 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 1932723020.

Contact Information

Ethan Stephens, DO
280 Pattonsville Rd,
Jackson, OH 45640-9452
(740) 446-5937
(740) 395-8834

Map and Direction




Physician's Profile

Full NameEthan Stephens
GenderMale
SpecialityFamily Medicine
Location280 Pattonsville Rd, Jackson, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932723020
  • Provider Enumeration Date: 06/03/2020
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850713702
  • Enrollment ID: I20230822003040

Medical Identifiers

Medical identifiers for Ethan Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932723020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34.016718 (Ohio)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 Stephens allows following entities to bill medicare on his behalf.
Entity NameHolzer Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20031215000746
Entity NameGallia County Commissioners
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1366576621
PECOS PAC ID: 6800993833
Enrollment ID: O20131010001895

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 Stephens 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 Stephens, DO
100 Jackson Pike,
Gallipolis, OH 45631-1560

Ph: () -		Ethan Stephens, DO
280 Pattonsville Rd,
Jackson, OH 45640-9452

Ph: (740) 446-5937

Reviews and Comments


Family Medicine Doctors in Jackson, OH

Breanna Morgan, CNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 280 Pattonsville Rd, Jackson, OH 45640
Phone: 740-395-8801    
Donald A Fisco, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 280 Pattonsville Rd, Jackson, OH 45640
Phone: 740-395-8805    Fax: 740-395-8855
Westley Cameron Mullins, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 280 Pattonsville Rd, Jackson, OH 45640
Phone: 855-446-5937    Fax: 740-395-8803
Teresa Renee Tenpenny, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14395 State Rt 93, Jackson, OH 45640
Phone: 740-288-7681    Fax: 740-288-7683
Jose Miguel Dejesus-rolenson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Veterans Dr, Jackson, OH 45640
Phone: 740-395-8090    Fax: 740-395-8197
Stephen J Owen, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Veterans Dr, Jackson, OH 45640
Phone: 740-395-8090    
Dr. Russell Albert Hartwick Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Burlington Rd, Ste 260, Jackson, OH 45640
Phone: 740-577-9181    Fax: 740-577-9214

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.