Ethan Newham, AGACNP-BC in Richmond, VA - Medicare Nurse Practitioner

Ethan Newham, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Richmond, Virginia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sound Physicians Intensivists Of Virginia Llc and his current practice location is 1213 E Clay St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 828-9000.

Ethan Newham is licensed to practice in Virginia (license number 0024180239) 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 1013524891.

Contact Information

	Ethan Newham, AGACNP-BC
	1213 E Clay St, Richmond, VA 23298-5071
	(804) 828-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan Newham
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1213 E Clay St, Richmond, 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 Newham graduated from nursing school in 2020

NPI Data:

NPI Number: 1013524891
Provider Enumeration Date: 09/25/2020
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 8123435344
Enrollment ID: I20210405001971

Medical Identifiers

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

Identifier	Type	State	Issuer
1013524891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	0024180239 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bon Secours St Marys Hospital	Richmond, VA	Hospital
Southside Regional Medical Center	Petersburg, VA	Hospital
Bon Secours Memorial Regional Medical Center	Mechanicsville, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sound Physicians Intensivists Of Virginia Llc	1759611411	49

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 Newham allows following entities to bill medicare on his behalf.

Entity Name	Sound Physicians Intensivists Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619520806 PECOS PAC ID: 1759611411 Enrollment ID: O20190923001500

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 Newham 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 Newham, AGACNP-BC 1213 E Clay St, Richmond, VA 23298-5071 Ph: (800) 762-6161	Ethan Newham, AGACNP-BC 1213 E Clay St, Richmond, VA 23298-5071 Ph: (804) 828-9000

Reviews and Comments

Nurse Practitioner Nurses in Richmond, VA

Ms. Renee D Seaman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, General Medicine, Richmond, VA 23298 Phone: 804-828-3144 Fax: 804-628-7104
Mrs. Mary Elizabeth O'boyle Willis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 E Marshall St, Department Of Pediatrics, Richmond, VA 23298 Phone: 804-628-0189 Fax: 804-828-6301
Jessica Davis Roberts, PMHRN-BC, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 North 10th Street, Richmond, VA 23298 Phone: 804-828-2641
Mrs. Molly Jean Seay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 W Grace St, Richmond, VA 23220 Phone: 804-783-2505
Cynthia Chenault, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 E Marshall St, Richmond, VA 23298 Phone: 804-628-3646
Jennifer J. Cox, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 N 11th St, Richmond, VA 23298 Phone: 804-828-4620 Fax: 804-628-0537
Tabitha Tram Smithers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7200 Glen Forest Dr Ste 106, Richmond, VA 23226 Phone: 804-495-0053

Ethan Newham, AGACNP-BC - Medicare Nurse Practitioner in Richmond, VA