JACOB DANIEL ETHRIDGE PA
NPI 1104301852
Physician Assistant in San Antonio, TX
About Jacob Daniel Ethridge Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB DANIEL ETHRIDGE PA (NPI 1104301852) is an individual physician assistant in San Antonio, Texas, licensed in Texas (PA12348) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Daniel Ethridge Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78248
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Ethridge's NPI number?
The NPI number for Jacob Ethridge is 1104301852. It was assigned to this individual provider in the NPPES registry on September 28, 2018.
Where is Jacob Ethridge located?
Jacob Ethridge practices at 1150 N Loop 1604 W Ste 150, San Antonio, TX 78248. The listed phone number is (281) 783-8162.
What is Jacob Ethridge's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jacob Ethridge enrolled in Medicare?
Yes. Jacob Ethridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jacob Ethridge accept?
Health plans from Blue Cross and Blue Shield of Texas list Jacob Ethridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacob Ethridge was last updated on June 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
