Dr Ethan Jernigan, DO - Medicare Emergency Medicine in Lawton, OK

Dr Ethan Jernigan, DO is a medicare enrolled "Emergency Medicine" physician in Lawton, Oklahoma. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2020 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mercy Hospital Lebanon, Mercy Hospital Springfield and his current practice location is 3401 W Gore Blvd, Lawton, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 355-8620.

Dr Ethan Jernigan is licensed to practice in Oklahoma (license number 7284) 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 1790305456.

Contact Information

Dr Ethan Jernigan, DO
3401 W Gore Blvd,
Lawton, OK 73505-6332
(580) 355-8620
Not Available



Physician's Profile

Full NameDr Ethan Jernigan
GenderMale
SpecialityEmergency Medicine
Experience4 Years
Location3401 W Gore Blvd, Lawton, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ethan Jernigan attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2020
  NPI Data:
  • NPI Number: 1790305456
  • Provider Enumeration Date: 04/23/2020
  • Last Update Date: 09/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183029184
  • Enrollment ID: I20230829001418

Medical Identifiers

Medical identifiers for Dr Ethan Jernigan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790305456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 7284 (Oklahoma)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital LebanonLebanon, MOHospital
Mercy Hospital SpringfieldSpringfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Hospital Lebanon721482901925
Mercy Hospital Springfield7416867593103

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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. Dr Ethan Jernigan allows following entities to bill medicare on his behalf.
Entity NameMercy Hospital Cassville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20040120000164

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Entity NameMercy St Francis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20040120000229

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Entity NameMercy Hospital Aurora
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20040727000335

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Entity NameMercy Hospital Lebanon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447284898
PECOS PAC ID: 7214829019
Enrollment ID: O20040907000806

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Entity NameMercy Hospital Springfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242159
PECOS PAC ID: 7416867593
Enrollment ID: O20050118000038

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Entity NameMercy St Francis Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1023053477
PECOS PAC ID: 7810806643
Enrollment ID: O20061104000139

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Entity NameMercy Hospital Aurora
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467543090
PECOS PAC ID: 9436063211
Enrollment ID: O20061104000261

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Entity NameMercy Hospital Cassville
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1285676932
PECOS PAC ID: 8820999139
Enrollment ID: O20100118000033

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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. Dr Ethan Jernigan 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 AddressPractice Location Address
Dr Ethan Jernigan, DO
3401 W Gore Blvd,
Lawton, OK 73505-6332

Ph: () -
Dr Ethan Jernigan, DO
3401 W Gore Blvd,
Lawton, OK 73505-6332

Ph: (580) 355-8620

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Emergency Medicine Doctors in Lawton, OK

Daniel Dorton,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd # W, Lawton, OK 73505
Phone: 580-699-4322    
Dr. Kirk M. Smith, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4909 Se Mills Ave, Lawton, OK 73501
Phone: 580-890-0545    
Dr. Justin M Magalassi, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd, Lawton, OK 73505
Phone: 918-519-2011    
Dr. Manuel Delarosa, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Nw 67th St, Suite E, Lawton, OK 73505
Phone: 580-536-9400    
Ryan Dale Ford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4510 Sw Wendy Dr, Lawton, OK 73505
Phone: 580-355-8620    
Dr. Andrew Burnette, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3401 W Gore Blvd, Lawton, OK 73505
Phone: 580-585-5545    
David W. Behm, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5602 Sw Lee Blvd, Er Dept, Lawton, OK 73505
Phone: 580-531-4700    Fax: 405-749-4561

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