Ethen Ellington, - Medicare Emergency Medicine in Charlotte, NC

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Ethen Ellington, is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to Kentucky School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Carolinas Emergency Group, Pllc, Stallings Emergency Physicians Pllc, Ballantyne Emergency Physicians Pllc and his current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-3181.

Ethen Ellington is licensed to practice in North Carolina (license number 227199) 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 1962934117.

Contact Information

Ethen Ellington,
1000 Blythe Blvd,
Charlotte, NC 28203-5812
(704) 355-3181
Not Available

Map and Direction




Physician's Profile

Full NameEthen Ellington
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location1000 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethen Ellington attended and graduated from Kentucky School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1962934117
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 03/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2163708025
  • Enrollment ID: I20200818002063

Medical Identifiers

Medical identifiers for Ethen Ellington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962934117NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 227199 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Atrium Health UnionMonroe, NCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital
Southeast Georgia Health System- Brunswick CampusBrunswick, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Carolinas Emergency Group, Pllc256748681469
Stallings Emergency Physicians Pllc276987097128
Ballantyne Emergency Physicians Pllc812345989832

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. Ethen Ellington allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameBallantyne Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164052726
PECOS PAC ID: 8123459898
Enrollment ID: O20200513000736
Entity NameStallings Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235728031
PECOS PAC ID: 2769870971
Enrollment ID: O20211020002403

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. Ethen Ellington 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
Ethen Ellington,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-3181		Ethen Ellington,
1000 Blythe Blvd,
Charlotte, NC 28203-5812

Ph: (704) 355-3181

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Jacob Leedekerken,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    
Neha Ray, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

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.