Roger B Ethington, MD - Medicare Optometrist in Coolidge, AZ

Roger B Ethington, MD is a medicare enrolled "Optometrist" provider in Coolidge, Arizona. His current practice location is 371 W Central Ave, Coolidge, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 723-3000.

Roger B Ethington is licensed to practice in Arizona (license number 552) 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 1679545776.

Contact Information

Roger B Ethington, MD
371 W Central Ave,
Coolidge, AZ 85128-4706
(520) 723-3000
(520) 723-5393



Healthcare Provider's Profile

Full NameRoger B Ethington
GenderMale
SpecialityOptometrist
Location371 W Central Ave, Coolidge, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679545776
  • Provider Enumeration Date: 02/02/2006
  • Last Update Date: 07/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5890691935
  • Enrollment ID: I20031210000270

Medical Identifiers

Medical identifiers for Roger B Ethington such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679545776NPI-NPPES
034273MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 552 (Arizona)Primary

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. Roger B Ethington allows following entities to bill medicare on his behalf.
Provider NameSouthwestern Eye Center, Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1023063187
PECOS PAC ID: 1850296989
Enrollment ID: O20031203000181

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Provider NameBarnet Dulaney Perkins Eye Center, Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376574707
PECOS PAC ID: 0749288298
Enrollment ID: O20061117000349

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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. Roger B Ethington 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
Roger B Ethington, MD
4800 N 22nd St Ste 210,
Phoenix, AZ 85016-4963

Ph: (480) 892-8400
Roger B Ethington, MD
371 W Central Ave,
Coolidge, AZ 85128-4706

Ph: (520) 723-3000

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Optometrist in Coolidge, AZ

Kate L Trinh,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 371 W Central Ave, Coolidge, AZ 85128
Phone: 480-892-8400    Fax: 602-508-4830
Mr. Rasha Kumar, OPTOMETRIST OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1695 North Arizona Boulevard, Coolidge, AZ 85228
Phone: 520-723-8641    Fax: 520-723-8643

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