Beverley Kornder, MD - Medicare General Practice in Simi Valley, CA

Beverley Kornder, MD is a medicare enrolled "Family Medicine" physician in Simi Valley, California. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Walter Thomas Md A Medical Corporation and her current practice location is 1980 Sequoia Ave, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 527-1804.

Beverley Kornder is licensed to practice in California (license number A48072) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477583110.

Contact Information

Beverley Kornder, MD
1980 Sequoia Ave,
Simi Valley, CA 93063-3167
(805) 527-1804
(805) 527-5241

Map and Direction




Physician's Profile

Full NameBeverley Kornder
GenderFemale
SpecialityGeneral Practice
Experience37 Years
Location1980 Sequoia Ave, Simi Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Beverley Kornder graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1477583110
  • Provider Enumeration Date: 07/04/2006
  • Last Update Date: 06/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991865198
  • Enrollment ID: I20081202000529

Medical Identifiers

Medical identifiers for Beverley Kornder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477583110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A48072 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health Simi ValleySimi valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Walter Thomas Md A Medical Corporation47896153862

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. Beverley Kornder allows following entities to bill medicare on her behalf.
Entity NameNewbury Park Urgent Care Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821064239
PECOS PAC ID: 9931180643
Enrollment ID: O20040527001345
Entity NameRegal Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588748073
PECOS PAC ID: 3779529979
Enrollment ID: O20050628000903
Entity NameWalter Thomas Md A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598953358
PECOS PAC ID: 4789615386
Enrollment ID: O20050823001097
Entity NameSpringbok Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417923400
PECOS PAC ID: 8820251424
Enrollment ID: O20120517000608

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. Beverley Kornder 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 AddressPractice Location Address
Beverley Kornder, MD
1980 Sequoia Ave,
Simi Valley, CA 93063-3167

Ph: (805) 527-1804
Beverley Kornder, MD
1980 Sequoia Ave,
Simi Valley, CA 93063-3167

Ph: (805) 527-1804

Reviews and Comments


Family Medicine Doctors in Simi Valley, CA

Denise Lu-gee Hom, MD
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Phone: 805-522-6577    Fax: 805-522-7030
Dr. Bennett Lee, M.D.
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Daria Younessi, MD
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Phone: 661-645-4223    
Dr. Aubrey Taow, D.O.
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Phone: 805-527-6424    
Tannaz Zahirpour, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 2925 Sycamore Dr., Suite 204-205, Simi Valley, CA 93065
Phone: 805-578-9620    Fax: 805-583-0414
Mr. Daniel Bruce Takeda, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2750 Sycamore Drive, Suite 202, Simi Valley, CA 93065
Phone: 805-527-9140    Fax: 805-527-0783

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.