Ethan Richard Manos, PA-C - Medicare Physician Assistant in Woonsocket, RI

Ethan Richard Manos, PA-C is a medicare enrolled "Physician Assistant" in Woonsocket, Rhode Island. His current practice location is 115 Cass Ave, Woonsocket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 769-4100.

Ethan Richard Manos is licensed to practice in * (Not Available) (license number ) 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 1366078206.

Contact Information

Ethan Richard Manos, PA-C
115 Cass Ave,
Woonsocket, RI 02895-4705
(401) 769-4100
Not Available



Provider's Profile

Full NameEthan Richard Manos
GenderMale
SpecialityPhysician Assistant
Location115 Cass Ave, Woonsocket, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366078206
  • Provider Enumeration Date: 03/22/2020
  • Last Update Date: 03/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577985738
  • Enrollment ID: I20200617002441

Medical Identifiers

Medical identifiers for Ethan Richard Manos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366078206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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 Richard Manos 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
Ethan Richard Manos, PA-C
4 Woodview Way Unit A23,
Hopkinton, MA 01748-2860

Ph: (857) 772-9380
Ethan Richard Manos, PA-C
115 Cass Ave,
Woonsocket, RI 02895-4705

Ph: (401) 769-4100

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› Verified 8 days ago


Physician Assistant Nurses in Woonsocket, RI

Elizabeth J Granata, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20 Cumberland Hill Rd, Suite 104, Woonsocket, RI 02895
Phone: 401-765-4100    
Mr. Gerard Francis Dougherty, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4100    
Shanna Schmidt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1054 Cass Ave, Woonsocket, RI 02895
Phone: 401-767-3600    
Jessica Nicole Schmitz, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4100    
Daniel Adam Bowens,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4100    
Gracelyn Oesterle,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4107    
Mr. Michael Thomas Gauthier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 115 Cass Ave, Woonsocket, RI 02895
Phone: 401-769-4100    

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