Elise D Ethridge, DPT in Meridian, MS - Medicare Physical Therapy Provider

Elise D Ethridge, DPT is a medicare enrolled "Physical Therapist" provider in Meridian, Mississippi. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Drayer Physical Therapy Mississippi Llc and her current practice location is 4908 Great River Dr, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 453-3632.

Elise D Ethridge is licensed to practice in Mississippi (license number PT6687) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760037121.

Contact Information

	Elise D Ethridge, DPT
	4908 Great River Dr, Meridian, MS 39305-2663
	(601) 453-3632
	(604) 453-3633

Map and Direction

Healthcare Provider's Profile

Full Name	Elise D Ethridge
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	4908 Great River Dr, Meridian, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elise D Ethridge graduated from medical school in 2019

NPI Data:

NPI Number: 1760037121
Provider Enumeration Date: 08/02/2019
Last Update Date: 08/02/2019

Medicare PECOS Information:

PECOS PAC ID: 6002144318
Enrollment ID: I20190824000659

Medical Identifiers

Medical identifiers for Elise D Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760037121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT6687 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Drayer Physical Therapy Mississippi Llc	3274834858	113

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. Elise D Ethridge allows following entities to bill medicare on her behalf.

Provider Name	Dpti Elite Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1386010718 PECOS PAC ID: 0547579401 Enrollment ID: O20151016001144

Provider Name	Drayer Physical Therapy Mississippi Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040

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. Elise D Ethridge 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
Elise D Ethridge, DPT 8205 Presidents Dr, Hummelstown, PA 17036-8621 Ph: (717) 839-2188	Elise D Ethridge, DPT 4908 Great River Dr, Meridian, MS 39305-2663 Ph: (601) 453-3632

Reviews and Comments

Physical Therapist in Meridian, MS

Joseph B. Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512
Baleigh N Booker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4908 Great River Dr, Meridian, MS 39305 Phone: 601-453-3632 Fax: 601-453-3633
Gabe Snow, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512
Peyton Macarthur Hamburg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2447 47th Ct Ste F, Meridian, MS 39305 Phone: 601-917-5440
Deborah Mitchell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1314 19th Ave, Meridian, MS 39301 Phone: 601-703-4240 Fax: 601-703-9512
Lindsay Nemanich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3716 Ms-39, Meridian, MS 39301 Phone: 601-482-7164
Gladys Mosley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2221 Highway 39 N, Meridian, MS 39301 Phone: 601-581-1191

Elise D Ethridge, DPT - Medicare Physical Therapist in Meridian, MS