ETHAN J MUSGRAVE M.D. NPI 1003023060

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Cincinnati, OH

NPI 1003023060 Individual Male Psychiatry & Neurology Child & Adolescent Psychiatry PECOS Enrolled Opted-Out Medicare

About ETHAN MUSGRAVE

Ethan Musgrave is a provider established in Cincinnati, Ohio and his medical specialization is psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Ethan Musgrave is 1003023060 and was assigned on May 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 35.090109 (OH). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Ethan Musgrave is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ethan Musgrave is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ethan Musgrave opted out of Medicare effective on 10-01-2018 until 10-01-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

NPI

1003023060

Provider Name ETHAN J MUSGRAVE M.D.
Provider Location Address3333 BURNET AVE ML 3014 CINCINNATI, OH 45229
Provider Mailing Address3333 BURNET AVE ML 5012 CINCINNATI, OH 45229
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-17-2007
Last Update Date04-28-2008


Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
License No.35.090109
License StateOH
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

ETHAN J MUSGRAVE M.D.
3333 BURNET AVE
ML 3014
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4788
Fax: (513) 636-4283

Get Directions


Mailing Address

ETHAN J MUSGRAVE M.D.
3333 BURNET AVE
ML 5012
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-8069
Fax: (513) 636-4272



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date10-01-2018
Opt-Out End Date10-01-2022
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235137209 MELISSA BRYANT RN
Individual
Nurse Anesthetist, Certified Registered3333 BURNET AVE
CINCINNATI, OH 45229
(513) 636-4405
1285632299 AIMEE M GRUBER CRNA
Individual
Nurse Anesthetist, Certified Registered3333 BURNET AVE
CINCINNATI, OH 45229
(513) 636-0356
1184617946 BETH E HABERMAN MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)3333 BURNET AVE ML 7009
CINCINNATI, OH 45229
(513) 636-4830
1225025638 SUSAN ANN BROWN M.D.
Individual
Pediatrics (Adolescent Medicine)3333 BURNET AVE DIVISION OF ADOLESCENT MEDICINE BUILDING A-8TH FLOOR
CINCINNATI, OH 45229
(513) 636-8602
1417945064 CHRISTINA JENSEN VALENTINE MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)3333 BURNET AVE ML 7009
CINCINNATI, OH 45229
(513) 636-4830
1376532218 CARRIE LYNN ATZINGER M.S.
Individual
Genetic Counselor, MS3333 BURNET AVE ML 4006
CINCINNATI, OH 45229
(513) 636-7604
1467433946MS. LAURIE ANNE BAILEY M.S.
Individual
Genetic Counselor, MS3333 BURNET AVE ML-4006
CINCINNATI, OH 45229
(513) 636-4507
1639154917DR. SMOKEY J CLAY M.D.
Individual
Anesthesiology (Pediatric Anesthesiology)3333 BURNET AVE ML 2001
CINCINNATI, OH 45229
(513) 348-6662
1053398115MRS. JENNIFER GAMM RUSCHMAN SC.M.
Individual
Genetic Counselor, MS3333 BURNET AVE MLC 4006
CINCINNATI, OH 45229
(513) 636-0110
1114905213 FRANCOISE LYSE PIERREDON P.C.
Individual
Counselor (Mental Health)3333 BURNET AVE
CINCINNATI, OH 45229
(513) 636-4225
1023097714DR. ARNOLD WILBUR STRAUSS M.D.
Individual
Pediatrics (Pediatric Cardiology)3333 BURNET AVE D 6.24 -- MLC 3016
CINCINNATI, OH 45229
(513) 636-2942
1730168337 JESSICA N EVERETT M.S.
Individual
Genetic Counselor, MS3333 BURNET AVE MLC 4006
CINCINNATI, OH 45229
(513) 636-7604
1154300358MS. DEBORAH LE CRAGUN M.S.
Individual
Genetic Counselor, MS3333 BURNET AVE MLC 4006
CINCINNATI, OH 45229
(513) 636-9861
1508838152DR. LEE ANN ELIZABETH CONARD R.PH., D.O., M.P.H.
Individual
Pediatrics (Adolescent Medicine)3333 BURNET AVE ML 4000
CINCINNATI, OH 45229
(513) 636-4681
1740259894PROF. HOLLY L MORRISON CRNA
Individual
Nurse Anesthetist, Certified Registered3333 BURNET AVE
CINCINNATI, OH 45229
(513) 636-4408
1093775041 MICHAEL J KIBELBEK MD
Individual
Anesthesiology3333 BURNET AVE ML-5021
CINCINNATI, OH 45229
(513) 636-4408
1760443758 REBECCA A TAYLOR RN CNP
Individual
Nurse Practitioner3333 BURNET AVE ML4002
CINCINNATI, OH 45229
(513) 636-4688
1669437463MS. CHERYL SHIVERDECKER BRUMBAUGH C.N.P.
Individual
Nurse Practitioner (Pediatrics)3333 BURNET AVE MLC 2018
CINCINNATI, OH 45229
(513) 636-4355
1215992292 NICHOLAS M EDWARDS MD MPH
Individual
Pediatrics (Sports Medicine)3333 BURNET AVE MLC 10001
CINCINNATI, OH 45229
(513) 636-4366
1033176912DR. KAREN M. MCDOWELL MD
Individual
Pediatrics (Pediatric Pulmonology)3333 BURNET AVE MLC 2021
CINCINNATI, OH 45229
(151) 363-6677

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.