Ethos Therapeutics is a medicare enrolled "Community/behavioral Health" provider in Sylmar, California. Their current practice location is
13030 Bradley Ave, Sylmar, California. You can reach out to their office (for appointments etc.) via phone at
(818) 421-0416.
Ethos Therapeutics is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ethos Therapeutics
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558110650.
Healthcare Provider's Profile
| Full Name | Ethos Therapeutics |
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| Type | Facility |
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| Speciality | Community/behavioral Health |
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| Location | 13030 Bradley Ave, Sylmar, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558110650
- Provider Enumeration Date: 05/13/2024
- Last Update Date: 05/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325583552
- Enrollment ID: O20240712000350
Medical Identifiers
Medical identifiers for Ethos Therapeutics such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558110650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ethos Therapeutics acts as a billing entity for following providers:
| Provider Name | Simone Carol Olsberg |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1245560267
PECOS PAC ID: 2567900939
Enrollment ID: I20240815003963 |
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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. Ethos Therapeutics 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 |
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Ethos Therapeutics
Po Box 923012,
Sylmar, CA 91392-3012
Ph: () - | Ethos Therapeutics
13030 Bradley Ave,
Sylmar, CA 91342-3831
Ph: (818) 421-0416 |
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