Individual ProviderEthan MccartyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address501 E Hampden Ave, Englewood, CO 80113-2702(720) 948-6868PECOS EnrollmentBased on the most recent information from CMS, provider Ethan Mccarty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:26 AM.Profile DetailsProvider ID1831958081Provider TypeIndividualFull NameMccarty, EthanGenderMaleSole ProprietorYesEnumeration Date3/18/2024Last Updated3/18/2024Contact InformationPractice LocationPractice Address501 E Hampden Ave, Englewood, CO 80113-2702Phone(720) 948-6868FaxUnlisted FaxMailing LocationMailing Address501 E Hampden Ave, Englewood, CO 80113-2702Phone(720) 948-6868FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer