Dr Evan Thomas Geise, DO - Medicare Family Medicine in Montclair, CA

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Dr Evan Thomas Geise, DO is a medicare enrolled "Family Medicine" physician in Montclair, California. His current practice location is 4959 Palo Verde St Ste 206a-5, Montclair, California. You can reach out to his office (for appointments etc.) via phone at (909) 694-4016.

Dr Evan Thomas Geise is licensed to practice in California (license number 20A14765) 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 1215345194.

Contact Information

Dr Evan Thomas Geise, DO
4959 Palo Verde St Ste 206a-5,
Montclair, CA 91763-2342
(909) 694-4016
Not Available

Map and Direction




Physician's Profile

Full NameDr Evan Thomas Geise
GenderMale
SpecialityFamily Medicine
Location4959 Palo Verde St Ste 206a-5, Montclair, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215345194
  • Provider Enumeration Date: 07/23/2014
  • Last Update Date: 12/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7719269091
  • Enrollment ID: I20170120002229

Medical Identifiers

Medical identifiers for Dr Evan Thomas Geise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215345194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A14765 (California)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 Evan Thomas Geise allows following entities to bill medicare on his behalf.
Entity NameSouthern California Hospitalist Network Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790880458
PECOS PAC ID: 8921990110
Enrollment ID: O20040324001749
Entity NameApex Healthcare Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447455423
PECOS PAC ID: 2860396306
Enrollment ID: O20041223000318
Entity NameMallu Reddy Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184821340
PECOS PAC ID: 8022193994
Enrollment ID: O20080317000645

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 Evan Thomas Geise 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
Dr Evan Thomas Geise, DO
4959 Palo Verde St Ste 206a-5,
Montclair, CA 91763-2342

Ph: (909) 694-4016		Dr Evan Thomas Geise, DO
4959 Palo Verde St Ste 206a-5,
Montclair, CA 91763-2342

Ph: (909) 694-4016

Reviews and Comments


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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.