ETHAN J MUSGRAVE M.D. NPI 1003023060
Psychiatry & Neurology (Child & Adolescent Psychiatry) in Cincinnati, OH
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 Address | 3333 BURNET AVE ML 3014 CINCINNATI, OH 45229 |
| Provider Mailing Address | 3333 BURNET AVE ML 5012 CINCINNATI, OH 45229 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-17-2007 |
| Last Update Date | 04-28-2008 |
Primary Taxonomy
| Taxonomy Code | 2084P0804X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Child & Adolescent Psychiatry |
| License No. | 35.090109 |
| License State | OH |
| Taxonomy Description | Child & 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
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 Medicare | Yes |
| Opt-Out Effective Date | 10-01-2018 |
| Opt-Out End Date | 10-01-2022 |
| Eligible to Order and Refer | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
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 Registered | 3333 BURNET AVE CINCINNATI, OH 45229 (513) 636-4405 |
| 1285632299 | AIMEE M GRUBER CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 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, MS | 3333 BURNET AVE ML 4006 CINCINNATI, OH 45229 (513) 636-7604 |
| 1467433946 | MS. LAURIE ANNE BAILEY M.S. Individual | Genetic Counselor, MS | 3333 BURNET AVE ML-4006 CINCINNATI, OH 45229 (513) 636-4507 |
| 1639154917 | DR. SMOKEY J CLAY M.D. Individual | Anesthesiology (Pediatric Anesthesiology) | 3333 BURNET AVE ML 2001 CINCINNATI, OH 45229 (513) 348-6662 |
| 1053398115 | MRS. JENNIFER GAMM RUSCHMAN SC.M. Individual | Genetic Counselor, MS | 3333 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 |
| 1023097714 | DR. 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, MS | 3333 BURNET AVE MLC 4006 CINCINNATI, OH 45229 (513) 636-7604 |
| 1154300358 | MS. DEBORAH LE CRAGUN M.S. Individual | Genetic Counselor, MS | 3333 BURNET AVE MLC 4006 CINCINNATI, OH 45229 (513) 636-9861 |
| 1508838152 | DR. 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 |
| 1740259894 | PROF. HOLLY L MORRISON CRNA Individual | Nurse Anesthetist, Certified Registered | 3333 BURNET AVE CINCINNATI, OH 45229 (513) 636-4408 |
| 1093775041 | MICHAEL J KIBELBEK MD Individual | Anesthesiology | 3333 BURNET AVE ML-5021 CINCINNATI, OH 45229 (513) 636-4408 |
| 1760443758 | REBECCA A TAYLOR RN CNP Individual | Nurse Practitioner | 3333 BURNET AVE ML4002 CINCINNATI, OH 45229 (513) 636-4688 |
| 1669437463 | MS. 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 |
| 1033176912 | DR. 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.