Ethan Alan Mitchell, DPT in Haslet, TX - Medicare Physical Therapist Provider

Ethan Alan Mitchell, DPT is a medicare enrolled "Physical Therapist" provider in Haslet, Texas. His current practice location is 12520 Willow Springs Rd Bldg 3-104, Haslet, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 210-6196.

Ethan Alan Mitchell is licensed to practice in Texas (license number 1380951) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245921188.

Contact Information

	Ethan Alan Mitchell, DPT
	12520 Willow Springs Rd Bldg 3-104, Haslet, TX 76052-3584
	(817) 210-6196
	(817) 782-9303

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Alan Mitchell
Gender	Male
Speciality	Physical Therapist
Location	12520 Willow Springs Rd Bldg 3-104, Haslet, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245921188
Provider Enumeration Date: 05/19/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 1254794613
Enrollment ID: I20230831004564

Medical Identifiers

Medical identifiers for Ethan Alan Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245921188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1380951 (Texas)	Primary

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 Alan Mitchell allows following entities to bill medicare on his behalf.

Provider Name	Coppell Spine & Sports Rehab Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1720276652 PECOS PAC ID: 1850200551 Enrollment ID: O20050211000129

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 Alan Mitchell 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 Alan Mitchell, DPT Po Box 2650, Coppell, TX 75019-8607 Ph: (972) 724-2400	Ethan Alan Mitchell, DPT 12520 Willow Springs Rd Bldg 3-104, Haslet, TX 76052-3584 Ph: (817) 210-6196

Reviews and Comments

Physical Therapist in Haslet, TX

Sonali Aggarwal, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12520 Willow Springs Rd, Bldg 3, Ste 104, Haslet, TX 76052 Phone: 817-210-6196 Fax: 817-782-9303
Morgan Nedley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12520 Willow Springs Rd, Bldg 3, Ste 104, Haslet, TX 76052 Phone: 817-210-6196 Fax: 817-782-9303
Dr. Jessie Dell Thomas, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12520 Willow Springs Rd Ste 104, Haslet, TX 76052 Phone: 817-210-6196 Fax: 817-782-9303
You Can Pt Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 248 Drumcliffe Dr, Haslet, TX 76052 Phone: 631-359-5856
Dr. Randi Spence, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12520 Willow Springs Rd Ste 104, Haslet, TX 76052 Phone: 817-210-6196 Fax: 817-782-9303
Imani Jones Salaam, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1245 Kachina Ln, Haslet, TX 76052 Phone: 850-408-2409

Ethan Alan Mitchell, DPT - Medicare Physical Therapist in Haslet, TX