Ethan T Shaver, PA in Green Bay, WI - Medicare Physician Assistant

Ethan T Shaver, PA is a medicare enrolled "Physician Assistant" in Green Bay, Wisconsin. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Baycare Clinic Llp and his current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-5555.

Ethan T Shaver is licensed to practice in Wisconsin (license number ) 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 1013452002.

Contact Information

	Ethan T Shaver, PA
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-5555
	(920) 288-5550

Map and Direction

Provider's Profile

Full Name	Ethan T Shaver
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	2845 Greenbrier Rd, Green Bay, Wisconsin
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 T Shaver graduated from nursing school in 2016

NPI Data:

NPI Number: 1013452002
Provider Enumeration Date: 12/29/2016
Last Update Date: 04/10/2024

Medicare PECOS Information:

PECOS PAC ID: 8527341924
Enrollment ID: I20170209000740

Medical Identifiers

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

Identifier	Type	State	Issuer
1013452002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Baycare Medical Ctr	Green bay, WI	Hospital
Door County Medical Center	Sturgeon bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Clinic Llp	4385554328	183

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 T Shaver 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 T Shaver, PA 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: () -	Ethan T Shaver, PA 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-5555

Reviews and Comments

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Krista M Solarek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1970 S Ridge Rd, Green Bay, WI 54304 Phone: 920-430-4888 Fax: 920-430-4889
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Dayna K Niesen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 414-290-6720 Fax: 414-290-6755
Katelin Marie Selner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8300
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Ethan T Shaver, PA - Medicare Physician Assistant in Green Bay, WI