Ethan William Gingras, NURSE PRACTITIONER - Medicare Nurse Practitioner in Dallas, TX

Ethan William Gingras, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Citydoc Urgent Care Center 3 ,pllc, City Doc Uptown Urgent Care Center Pllc, Citydoc Urgent Care Center 2, Pllc and his current practice location is 39769 I-20, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 780-0802.

Ethan William Gingras is licensed to practice in Texas (license number AP137475) 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 1225520455.

Contact Information

Ethan William Gingras, NURSE PRACTITIONER
39769 I-20,
Dallas, TX 75237
(972) 780-0802
Not Available

Map and Direction




Provider's Profile

Full NameEthan William Gingras
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location39769 I-20, Dallas, Texas
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:
  • Ethan William Gingras graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1225520455
  • Provider Enumeration Date: 06/04/2018
  • Last Update Date: 03/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668710005
  • Enrollment ID: I20190211002267

Medical Identifiers

Medical identifiers for Ethan William Gingras such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225520455NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP137475 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Citydoc Urgent Care Center 3 ,pllc307276247518
City Doc Uptown Urgent Care Center Pllc872924327420
Citydoc Urgent Care Center 2, Pllc963835410319

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 William Gingras allows following entities to bill medicare on his behalf.
Entity NameCitydoc Urgent Care Center 2, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003044942
PECOS PAC ID: 9638354103
Enrollment ID: O20110427000050
Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932
Entity NameCity Doc Uptown Urgent Care Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679686349
PECOS PAC ID: 8729243274
Enrollment ID: O20120706000341
Entity NameCitydoc Urgent Care Center 3 ,pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619237401
PECOS PAC ID: 3072762475
Enrollment ID: O20120928000285
Entity NameCommunitymed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821417072
PECOS PAC ID: 9830315126
Enrollment ID: O20140722002029
Entity NameCommunitymed Pcp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063818219
PECOS PAC ID: 7618295007
Enrollment ID: O20150415001009
Entity NameCentury Integrated Partners, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447615711
PECOS PAC ID: 6406151703
Enrollment ID: O20160224002152
Entity NameCd Urgent Care Center 5, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407224850
PECOS PAC ID: 5698070928
Enrollment ID: O20160225000180

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 William Gingras 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
Ethan William Gingras, NURSE PRACTITIONER
798 Deverson Dr,
Rockwall, TX 75087-7172

Ph: (469) 396-3360
Ethan William Gingras, NURSE PRACTITIONER
39769 I-20,
Dallas, TX 75237

Ph: (972) 780-0802

Reviews and Comments


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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.