Dr John S Ebisu, MD in Kirkland, WA

Dr John S Ebisu, MD is a medicare enrolled "Surgery" physician in Kirkland, Washington. His current practice location is 12333 Ne 130th Ln, Suite 420, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 838-2590.

Dr John S Ebisu is licensed to practice in Washington (license number MD00027066) 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 1508835273.

Contact Information

	Dr John S Ebisu, MD
	12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034-7467
	(206) 838-2590
	(206) 264-8689

Map and Direction

Physician's Profile

Full Name	Dr John S Ebisu
Gender	Male
Speciality	Surgery
Location	12333 Ne 130th Ln, Kirkland, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508835273
Provider Enumeration Date: 03/15/2006
Last Update Date: 10/07/2011

Medicare PECOS Information:

PECOS PAC ID: 7719029370
Enrollment ID: I20100119000811

Medical Identifiers

Medical identifiers for Dr John S Ebisu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508835273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD00027066 (Washington)	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. Dr John S Ebisu allows following entities to bill medicare on his behalf.

Entity Name	King County Public Hospital District No 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557

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. Dr John S Ebisu 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 Address	Practice Location Address
Dr John S Ebisu, MD 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100	Dr John S Ebisu, MD 12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034-7467 Ph: (206) 838-2590

Reviews and Comments

Surgery Doctors in Kirkland, WA

Dr. Michael A Towbin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034 Phone: 425-899-5500 Fax: 425-899-5529
John Dockins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12333 Ne 130th Ln Ste 400, Kirkland, WA 98034 Phone: 425-544-2000
Dr. Iradj George Aflatooni, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6511 Ne 138th Pl, Kirkland, WA 98034 Phone: 425-898-4796 Fax: 425-898-4796
Andrew D Ludwig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12333 Ne 130th Ln Ste Tan 420, Kirkland, WA 98034 Phone: 258-995-5000
Dr. Braden Charles Stridde, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10117 Ne 58th Street, Suite 100, Kirkland, WA 98033 Phone: 425-202-4709 Fax: 425-576-4102
Dr. Thomas D Gant, MD Surgery Medicare: Medicare Enrolled Practice Location: 9006 Ne 116th Pl, Kirkland, WA 98034 Phone: 206-999-0293
Dr. James G. Mhyre, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 12333 Ne 130th Ln, Suite 420, Kirkland, WA 98034 Phone: 425-899-5500 Fax: 425-899-5529

Dr John S Ebisu, MD - Medicare Surgery in Kirkland, WA