Ethan Williamson, MD in Columbia, MO - Medicare Surgery

Ethan Williamson, MD is a medicare enrolled "Surgery" physician in Columbia, Missouri. His current practice location is 1 Hospital Dr, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 884-2000.

Ethan Williamson is licensed to practice in Missouri (license number 2022021144) 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 1417687179.

Contact Information

	Ethan Williamson, MD
	1 Hospital Dr, Columbia, MO 65212-1000
	(573) 884-2000
	Not Available

Physician's Profile

Full Name	Ethan Williamson
Gender	Male
Speciality	Surgery
Location	1 Hospital Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417687179
Provider Enumeration Date: 06/15/2022
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9537548730
Enrollment ID: I20220617001880

Medical Identifiers

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

Identifier	Type	State	Issuer
1417687179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2022021144 (Missouri)	Primary

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 Williamson 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 Williamson, MD 1 Hospital Dr, Columbia, MO 65212-1000 Ph: () -	Ethan Williamson, MD 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 884-2000

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Surgery Doctors in Columbia, MO

Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141
Alice Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-5609 Fax: 573-884-6054
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346
Richard Smith, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Drive, Columbia, MO 65201 Phone: 573-884-4854 Fax: 573-884-6054

Ethan Williamson, MD - Medicare Surgery in Columbia, MO