Ethan R Everett, PSYD in La Crosse, WI - Medicare Clinical Psychologist Provider

Ethan R Everett, PSYD is a medicare enrolled "Psychologist" provider in La Crosse, Wisconsin. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Ethan R Everett is licensed to practice in Wisconsin (license number 2075) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235123134.

Contact Information

	Ethan R Everett, PSYD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan R Everett
Gender	Male
Speciality	Clinical Psychologist
Experience	32 Years
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan R Everett graduated from medical school in 1993

NPI Data:

NPI Number: 1235123134
Provider Enumeration Date: 09/07/2005
Last Update Date: 04/19/2016

Medicare PECOS Information:

PECOS PAC ID: 3375632235
Enrollment ID: I20161123001938

Medical Identifiers

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

Identifier	Type	State	Issuer
1235123134	NPI	-	NPPES
39119600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2075 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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 R Everett allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 R Everett 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 R Everett, PSYD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Ethan R Everett, PSYD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Psychologist in La Crosse, WI

Dr. Michael David Smith, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Carol Goulet, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 507-284-1373
Michelle Mcelligott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Meganruth Christine Schumacher-martinez, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S Ste 100, La Crosse, WI 54601 Phone: 608-218-4234
Maria C Graf, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Verne E Lewis, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kevin M Boland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467

Ethan R Everett, PSYD - Medicare Psychologist in La Crosse, WI