Dr Eboni Christina January, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Potsdam, New York. Her current practice location is
50 Leroy St, Potsdam, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 265-3300.
Dr Eboni Christina January is licensed to practice in New York (license number 300032) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851602593.
Physician's Profile
| Full Name | Dr Eboni Christina January |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 50 Leroy St, Potsdam, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851602593
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426273434
- Enrollment ID: I20140708001149
Medical Identifiers
Medical identifiers for Dr Eboni Christina January such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851602593 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | T9136 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 3551-320 (Wisconsin) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 73007 (Arizona) | Secondary |
| 207V00000X | Obstetrics & Gynecology | D0099074 (Maryland) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 91849 (Georgia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 64605 (Connecticut) | Secondary |
| 207V00000X | Obstetrics & Gynecology | ME143577 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD210001911 (District Of Columbia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036150150 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | C184151 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2023-00015 (North Carolina) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101280447 (Virginia) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2014012421 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 300032 (New York) | 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 Eboni Christina January allows following entities to bill medicare on her behalf.
| Entity Name | The Health & Wellness Centerr Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932627486
PECOS PAC ID: 0143564625
Enrollment ID: O20181211000671 |
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| Entity Name | Home Drs Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518570696
PECOS PAC ID: 0143631432
Enrollment ID: O20201117001706 |
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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 Eboni Christina January 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 |
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Dr Eboni Christina January, MD
910 Morrison Ave,
Saint Louis, MO 63104-3537
Ph: (573) 268-4830 | Dr Eboni Christina January, MD
50 Leroy St,
Potsdam, NY 13676-1799
Ph: (315) 265-3300 |
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