Ethan Osborne, DPT, PT in Costa Mesa, CA - Medicare Physical Therapist Provider

Ethan Osborne, DPT, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Costa Mesa, California. His current practice location is 2777 Bristol St Ste B, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (949) 250-1112.

Ethan Osborne is licensed to practice in California (license number 303687) 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 1376240911.

Contact Information

	Ethan Osborne, DPT, PT
	2777 Bristol St Ste B, Costa Mesa, CA 92626-5997
	(949) 250-1112
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Osborne
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	2777 Bristol St Ste B, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376240911
Provider Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1456714328
Enrollment ID: I20230824002571

Medical Identifiers

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

Identifier	Type	State	Issuer
1376240911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	303687 (California)	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 Osborne allows following entities to bill medicare on his behalf.

Provider Name	Prosport Physical Therapy Professionals Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073170437 PECOS PAC ID: 0749510634 Enrollment ID: O20200304001273

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 Osborne 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 Osborne, DPT, PT 1433 Superior Ave Apt 219, Newport Beach, CA 92663-6130 Ph: () -	Ethan Osborne, DPT, PT 2777 Bristol St Ste B, Costa Mesa, CA 92626-5997 Ph: (949) 250-1112

Reviews and Comments

Physical Therapist in Costa Mesa, CA

Ms. Elizabeth M Byrne, M.P.T.,A.T.C. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 Adams Ave, Suite 201, Costa Mesa, CA 92626 Phone: 714-556-1600 Fax: 714-556-3737
Caroline A Teets, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1112 Fax: 949-250-1404
Mr. Kurt Justin Nofziger, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Irvine Ave, Suite 128, Costa Mesa, CA 92627 Phone: 949-722-8811 Fax: 949-722-9911
Mr. Johnathan Loquasto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 Harbor Blvd Ste F5, Costa Mesa, CA 92626 Phone: 714-540-6792 Fax: 714-540-6794
Kevin Castillo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2777 Bristol St Ste B, Costa Mesa, CA 92626 Phone: 949-250-1122
Haining Su, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1640 Newport Blvd Ste 260, Costa Mesa, CA 92627 Phone: 949-335-7967
Mrs. Michele Leann Elvander, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3124 Taft Way, Costa Mesa, CA 92626 Phone: 562-397-4871

Ethan Osborne, DPT, PT - Medicare Physical Therapist in Costa Mesa, CA