Ethan R Roberts, in Chicago, IL - Medicare Occupational Therapy Provider

Ethan R Roberts, is a medicare enrolled "Occupational Therapist" provider in Chicago, Illinois. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Occupational Therapy. He is a member of the group practice Athletico Ltd and his current practice location is 1915 S Archer Ave, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 674-9132.

Ethan R Roberts is licensed to practice in Illinois (license number 056014948) 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 1336879055.

Contact Information

	Ethan R Roberts,
	1915 S Archer Ave, Chicago, IL 60616-1618
	(312) 674-9132
	(312) 674-9392

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan R Roberts
Gender	Male
Speciality	Occupational Therapy
Experience	2 Years
Location	1915 S Archer Ave, Chicago, Illinois
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 R Roberts graduated from medical school in 2022

NPI Data:

NPI Number: 1336879055
Provider Enumeration Date: 06/15/2022
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 0648652131
Enrollment ID: I20220730000154

Medical Identifiers

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

Identifier	Type	State	Issuer
1336879055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	056014948 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	1963

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 R Roberts allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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 R Roberts 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 R Roberts, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200	Ethan R Roberts, 1915 S Archer Ave, Chicago, IL 60616-1618 Ph: (312) 674-9132

Reviews and Comments

Occupational Therapist in Chicago, IL

Brittany Cindy Speron, BRITTANY SPERONMOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000
Kimberly Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000
Kaitlin Elizabeth Brunsvold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St., Chicago, IL 60614 Phone: 312-227-4000
Mrs. Cathleen Conway Jensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, C100, Chicago, IL 60612 Phone: 312-996-3700
Jesse Forest Langille, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 S Michigan Ave, Chicago, IL 60605 Phone: 312-431-0434
Kathleen Needham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St, Chicago, IL 60614 Phone: 312-227-6974
Justine Cabrera, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 W Irving Park Rd, Chicago, IL 60613 Phone: 773-687-9442

Ethan R Roberts, - Medicare Occupational Therapist in Chicago, IL