Scott David Ethridge, PA-C - Medicare Physician Assistant in Charleston, WV

Scott David Ethridge, PA-C is a medicare enrolled "Physician Assistant - Medical" in Charleston, West Virginia. His current practice location is 3100 Maccorkle Ave Se, Suite 806, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 344-9480.

Scott David Ethridge is licensed to practice in West Virginia (license number 01317) 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 1326228552.

Contact Information

Scott David Ethridge, PA-C
3100 Maccorkle Ave Se, Suite 806,
Charleston, WV 25304-1223
(304) 344-9480
(304) 344-9481



Provider's Profile

Full NameScott David Ethridge
GenderMale
SpecialityPhysician Assistant - Medical
Location3100 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326228552
  • Provider Enumeration Date: 11/05/2007
  • Last Update Date: 01/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9234229477
  • Enrollment ID: I20071212000342

Medical Identifiers

Medical identifiers for Scott David Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326228552NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 01317 (West Virginia)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. Scott David Ethridge 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
Scott David Ethridge, PA-C
4619 Kanawha Ave Sw, Suite 806,
South Charleston, WV 25309-1319

Ph: (304) 400-4545
Scott David Ethridge, PA-C
3100 Maccorkle Ave Se, Suite 806,
Charleston, WV 25304-1223

Ph: (304) 344-9480

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› Verified 1 days ago


Physician Assistant Nurses in Charleston, WV

Mrs. Sherry Lynn Persinger, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1003 Oakhurst Dr., Charleston, WV 25314
Phone: 304-345-4525    Fax: 304-345-4527
Sandra Faye Stennett, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1532 Bridge Rd Apt A, Charleston, WV 25314
Phone: 304-541-7763    
Ms. Shaina Rachael Cain, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 333 Laidley St, Charleston, WV 25301
Phone: 304-347-6116    Fax: 304-347-6117
Mrs. Krystal Smithers, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 208 Maccorkle Ave Se, Charleston, WV 25314
Phone: 304-343-4300    Fax: 304-343-5473
Brett Paul Zavadil, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    
Katie Preece,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se Ste B-16, Charleston, WV 25304
Phone: 304-388-5848    Fax: 304-388-5848
Mr. Kevin S. Boyce, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Avenue Se,, Hospitalist Program, Charleston, WV 25304
Phone: 304-388-5848    Fax: 304-388-9654

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