Ethan Lee Thomas, FNP-C in Grand Forks, ND - Medicare Nurse Practitioner

Ethan Lee Thomas, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grand Forks, North Dakota. He went to University Of North Dakota School Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Altru Health System and his current practice location is 4440 S. Washington St., Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 732-7000.

Ethan Lee Thomas is licensed to practice in North Dakota (license number R40656) 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 1063017432.

Contact Information

	Ethan Lee Thomas, FNP-C
	4440 S. Washington St., Grand Forks, ND 58201
	(701) 732-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan Lee Thomas
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	4440 S. Washington St., Grand Forks, North Dakota
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 Lee Thomas attended and graduated from University Of North Dakota School Of Medicine in 2020

NPI Data:

NPI Number: 1063017432
Provider Enumeration Date: 12/02/2020
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4082011291
Enrollment ID: I20210929003795

Medical Identifiers

Medical identifiers for Ethan Lee Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063017432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R40656 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Altru Hospital	Grand forks, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Altru Health System	1355251604	520

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 Lee Thomas allows following entities to bill medicare on his behalf.

Entity Name	Altru Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714

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 Lee Thomas 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 Lee Thomas, FNP-C 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-6468	Ethan Lee Thomas, FNP-C 4440 S. Washington St., Grand Forks, ND 58201 Ph: (701) 732-7000

Reviews and Comments

Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416
Laura Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940
Kamrin L Macki, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000

Ethan Lee Thomas, FNP-C - Medicare Nurse Practitioner in Grand Forks, ND