Mr Ethan D Washburn, PA-C - Medicare Physician Assistant in Moses Lake, WA

Mr Ethan D Washburn, PA-C is a medicare enrolled "Physician Assistant" in Moses Lake, Washington. His current practice location is 1550 S Pioneer Way, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 793-9770.

Mr Ethan D Washburn is licensed to practice in Washington (license number PA60120190) 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 1003142936.

Contact Information

Mr Ethan D Washburn, PA-C
1550 S Pioneer Way,
Moses Lake, WA 98837-4613
(509) 793-9770
Not Available



Provider's Profile

Full NameMr Ethan D Washburn
GenderMale
SpecialityPhysician Assistant
Location1550 S Pioneer Way, Moses Lake, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003142936
  • Provider Enumeration Date: 10/28/2009
  • Last Update Date: 11/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7911040753
  • Enrollment ID: I20100202000832

Medical Identifiers

Medical identifiers for Mr Ethan D Washburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003142936NPI-NPPES
2004464MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA60120190 (Washington)Secondary
363A00000XPhysician Assistant PA60120190 (Washington)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. Mr Ethan D Washburn 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
Mr Ethan D Washburn, PA-C
660 S Coolidge St,
Moses Lake, WA 98837-1872

Ph: (509) 793-9715
Mr Ethan D Washburn, PA-C
1550 S Pioneer Way,
Moses Lake, WA 98837-4613

Ph: (509) 793-9770

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› Verified 5 days ago


Physician Assistant Nurses in Moses Lake, WA

Chloe Noel Kesterson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-765-0674    
Joseph Hancock, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9789    Fax: 509-764-3266
Tracy L Estrellado, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-765-0216    
Ms. Jennipher Colas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
Corbin Moberg,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 605 S Coolidge St, Moses Lake, WA 98837
Phone: 509-793-9785    Fax: 509-764-0344
Mitchell David Valente, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1550 S Pioneer Way, Moses Lake, WA 98837
Phone: 509-793-9790    Fax: 509-764-3244

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