Ebba K Ebba, MD in Fort Defiance, AZ

Ebba K Ebba, MD is a medicare enrolled "Pediatrics" physician in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Ebba K Ebba is licensed to practice in West Virginia (license number 32946) 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 1609857341.

Contact Information

	Ebba K Ebba, MD
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649
	(928) 729-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Ebba K Ebba
Gender	Male
Speciality	Pediatrics
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609857341
Provider Enumeration Date: 11/09/2005
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 6305104431
Enrollment ID: I20180730001749

Medical Identifiers

Medical identifiers for Ebba K Ebba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609857341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	36724 (Georgia)	Secondary
208000000X	Pediatrics	50869 (Kentucky)	Secondary
208000000X	Pediatrics	25659 (Alabama)	Secondary
208000000X	Pediatrics	32946 (West Virginia)	Primary
208000000X	Pediatrics	TP229 (Kentucky)	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. Ebba K Ebba allows following entities to bill medicare on his behalf.

Entity Name	Morehouse Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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. Ebba K Ebba 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
Ebba K Ebba, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () -	Ebba K Ebba, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000

Reviews and Comments

Pediatrics Doctors in Fort Defiance, AZ

Santosh Bandugula Reddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8713
Junko Nakai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Corner Of Route 7 And Route 12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Gail Stotsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Douglas Henry Esposito, MD, MPH, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8019
Paul D Smith, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Sarah Rose Wheatley Hartnett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Corner Of N12 And N7, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8000
John Michael Lambert, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Navajo Route N12 And N7, Fdih Tsehootsooi Medical Center Navajo Nation, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8269

Ebba K Ebba, MD - Medicare Pediatrics in Fort Defiance, AZ