Ethan Louis Duclos, DPT in Red Bud, IL - Medicare Physical Therapist Provider

Ethan Louis Duclos, DPT is a medicare enrolled "Physical Therapist" provider in Red Bud, Illinois. His current practice location is 3507 State Route 3, Red Bud, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 977-7415.

Ethan Louis Duclos is licensed to practice in * (Not Available) (license number ) 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 1164010781.

Contact Information

	Ethan Louis Duclos, DPT
	3507 State Route 3, Red Bud, IL 62278-4037
	(618) 977-7415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Louis Duclos
Gender	Male
Speciality	Physical Therapist
Location	3507 State Route 3, Red Bud, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164010781
Provider Enumeration Date: 01/08/2021
Last Update Date: 01/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5395113625
Enrollment ID: I20221117002240

Medical Identifiers

Medical identifiers for Ethan Louis Duclos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164010781	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. 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 Louis Duclos allows following entities to bill medicare on his behalf.

Provider Name	Ati Holdings Missouri Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1609277946 PECOS PAC ID: 3577885326 Enrollment ID: O20141204002183

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 Louis Duclos 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 Louis Duclos, DPT 3507 State Route 3, Red Bud, IL 62278-4037 Ph: (618) 977-7415	Ethan Louis Duclos, DPT 3507 State Route 3, Red Bud, IL 62278-4037 Ph: (618) 977-7415

Reviews and Comments

Physical Therapist in Red Bud, IL

Natalie N Liefer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 S Main St, Red Bud, IL 62278 Phone: 618-443-7574
Cara Dake, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5176 Fax: 618-282-3596
Mrs. Nancy L Connelly, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596
Mrs. Ashley N Hentis, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596
Mrs. Aimee Kathleen Range, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172 Fax: 618-282-3596
Sarah E Heine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Spring St, Red Bud, IL 62278 Phone: 618-282-5172

Ethan Louis Duclos, DPT - Medicare Physical Therapist in Red Bud, IL