Mr Charles Fredrick Ebsworth, DDS - Dentist in Lake Forest Park, WA

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Mr Charles Fredrick Ebsworth, DDS is a Dentist - General Practice based in Lake Forest Park, Washington. Mr Charles Fredrick Ebsworth is licensed to practice in Washington (license number 4073) and his current practice location is 17191 Bothell Way Ne, Suite 201, Lake Forest Park, Washington. He can be reached at his office (for appointments etc.) via phone at (206) 362-0152.

NPI number for Mr Charles Fredrick Ebsworth is 1023071149 and his current mailing address is 17191 Bothell Way Ne, Suite 201, Lake Forest Park, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023071149.

Contact Information

Mr Charles Fredrick Ebsworth, DDS
17191 Bothell Way Ne, Suite 201,
Lake Forest Park, WA 98155-5534
(206) 362-0152
(206) 365-3441

Map and Direction




Healthcare Provider's Profile

Full NameMr Charles Fredrick Ebsworth
GenderMale
SpecialityDentist - General Practice
Location17191 Bothell Way Ne, Lake Forest Park, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023071149
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Charles Fredrick Ebsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023071149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4073 (Washington)Primary

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. Mr Charles Fredrick Ebsworth is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Charles Fredrick Ebsworth, DDS
17191 Bothell Way Ne, Suite 201,
Lake Forest Park, WA 98155-5534

Ph: (206) 362-0152		Mr Charles Fredrick Ebsworth, DDS
17191 Bothell Way Ne, Suite 201,
Lake Forest Park, WA 98155-5534

Ph: (206) 362-0152

Reviews and Comments


Dentist in Lake Forest Park, WA

Dr. Esther Ra, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 14991 37th Ave Ne Apt B, Lake Forest Park, WA 98155
Phone: 206-972-3374    
Nina S Svino, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18515 Ballinger Way Ne, Lake Forest Park, WA 98155
Phone: 206-306-0080    Fax: 206-306-0222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.