Ebba K Ebba, MD in Fort Defiance, AZ - Medicare Pediatric Medicine

Ebba K Ebba, MD is a medicare enrolled "Pediatrics" physician in Fort Defiance, Arizona. He went to Emory University School Of Medicine and graduated in 1990 and has 36 years of diverse experience with area of expertise as Pediatric Medicine. 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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	Pediatric Medicine
Experience	36 Years
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ebba K Ebba attended and graduated from Emory University School Of Medicine in 1990

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: I20250328001210

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	The Fort Defiance Indian Hospital Board, Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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: Not Enrolled in Medicare Practice Location: Corner Of Route 7 And Route 12, 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
Richard Rougeux, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Ebba K Ebba, MD - Medicare Pediatric Medicine in Fort Defiance, AZ