Ethan John Mytinger, in Denver, CO - Medicare Physician Assistant

Ethan John Mytinger, is a medicare enrolled "Physician Assistant" in Denver, Colorado. His current practice location is 1601 E 19th Ave Ste 5500, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 777-7112.

Ethan John Mytinger is licensed to practice in * (Not Available) (license number ) 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 1932753100.

Contact Information

	Ethan John Mytinger,
	1601 E 19th Ave Ste 5500, Denver, CO 80218-1291
	(303) 777-7112
	(303) 722-7010

Map and Direction

Provider's Profile

Full Name	Ethan John Mytinger
Gender	Male
Speciality	Physician Assistant
Location	1601 E 19th Ave Ste 5500, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932753100
Provider Enumeration Date: 07/26/2019
Last Update Date: 09/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0446672026
Enrollment ID: I20200629001030

Medical Identifiers

Medical identifiers for Ethan John Mytinger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932753100	NPI	-	NPPES
6000000003748572	Medicaid	WI
9000181996	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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 John Mytinger 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 John Mytinger, 3333 S Bannock St Ste 350, Englewood, CO 80110-2426 Ph: (303) 957-1310	Ethan John Mytinger, 1601 E 19th Ave Ste 5500, Denver, CO 80218-1291 Ph: (303) 777-7112

Reviews and Comments

Physician Assistant Nurses in Denver, CO

Daniel Ryan Humer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2535 S Downing St, Denver, CO 80210 Phone: 303-778-5798
Andrea Bishop Navarre, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Bannock St # Mc3240, Denver, CO 80204 Phone: 303-436-6000
Gillian Feeley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 N Marion St, Denver, CO 80218 Phone: 303-860-7770
Ms. Amanda Lynn Befferman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4660 Yosemite St Ste 201, Denver, CO 80238 Phone: 033-872-1740 Fax: 303-200-8541
Kirsten Eriksen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000
Thia A Gonzales, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000
Molly E Gilpin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 E 9th Ave, Suite 740, Denver, CO 80220 Phone: 720-941-1778

Ethan John Mytinger, - Medicare Physician Assistant in Denver, CO