Kelly Yepremian, MD is a medicare enrolled "Hospitalist" physician in East Rancho Dominguez, California. Her current practice location is
15715 S Atlantic Ave Fl 2, East Rancho Dominguez, California. You can reach out to her office (for appointments etc.) via phone at
(310) 604-5000.
Kelly Yepremian is licensed to practice in North Dakota (license number 19946) 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 1679606172.
Physician's Profile
| Full Name | Kelly Yepremian |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Location | 15715 S Atlantic Ave Fl 2, East Rancho Dominguez, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679606172
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406742204
- Enrollment ID: I20040227000177
Medical Identifiers
Medical identifiers for Kelly Yepremian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679606172 | NPI | - | NPPES |
| 200904068 | Other | CA | BLUE SHIELD |
| 200904068 | Other | CA | BLUE CROSS |
| 00A813170 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 19946 (North Dakota) | Primary |
| 207R00000X | Internal Medicine | A81317 (California) | Secondary |
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. Kelly Yepremian allows following entities to bill medicare on her behalf.
| Entity Name | Jonathan Nasseri Md Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194063529 PECOS PAC ID: 8921253469 Enrollment ID: O20130306000489 |
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| Entity Name | Menalam Health Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114594967 PECOS PAC ID: 7012319163 Enrollment ID: O20210712002579 |
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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. Kelly Yepremian 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 |
Kelly Yepremian, MD 15715 S Atlantic Ave Fl 2, East Rancho Dominguez, CA 90221-4242 Ph: (310) 604-5000 | Kelly Yepremian, MD 15715 S Atlantic Ave Fl 2, East Rancho Dominguez, CA 90221-4242 Ph: (310) 604-5000 |
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