Ethan Ryan Payton, MD in Beverly Hills, CA

Ethan Ryan Payton, MD is a medicare enrolled "Family Medicine" physician in Beverly Hills, California. He went to Washington University School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. His current practice location is 8820 Wilshire Blvd Ste 110, Beverly Hills, California. You can reach out to his office (for appointments etc.) via phone at (424) 315-0776.

Ethan Ryan Payton is licensed to practice in California (license number A194641) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053998013.

Contact Information

	Ethan Ryan Payton, MD
	8820 Wilshire Blvd Ste 110, Beverly Hills, CA 90211-2620
	(424) 315-0776
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Ryan Payton
Gender	Male
Speciality	Family Practice
Experience	4 Years
Location	8820 Wilshire Blvd Ste 110, Beverly Hills, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan Ryan Payton attended and graduated from Washington University School Of Medicine in 2021

NPI Data:

NPI Number: 1053998013
Provider Enumeration Date: 03/25/2021
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8729435029
Enrollment ID: I20240514003082

Medical Identifiers

Medical identifiers for Ethan Ryan Payton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053998013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A194641 (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. Ethan Ryan Payton allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

Entity Name	Los Angeles Lgbt Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548298532 PECOS PAC ID: 8729975453 Enrollment ID: O20040227001020

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. Ethan Ryan Payton 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
Ethan Ryan Payton, MD 4140 W 190th St, Torrance, CA 90504-5513 Ph: () -	Ethan Ryan Payton, MD 8820 Wilshire Blvd Ste 110, Beverly Hills, CA 90211-2620 Ph: (424) 315-0776

Reviews and Comments

Family Medicine Doctors in Beverly Hills, CA

Christina Vu Pham, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9725 Wilshire Blvd, Beverly Hills, CA 90212 Phone: 323-305-7150 Fax: 415-252-7176
Dr. Alexander Hu, D,O, Family Medicine Medicare: Medicare Enrolled Practice Location: 8767 Wilshire Blvd Fl 2, Beverly Hills, CA 90211 Phone: 310-248-7000
Dr. Stacy Tamara Tarradath, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211 Phone: 310-248-7000 Fax: 310-248-7033
Brett Garvey, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210 Phone: 888-803-3370 Fax: 888-803-3331
Mr. Kehinde Elemuren, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210 Phone: 888-803-3370
Dr. Marvin Berkowitz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 614 N Roxbury Dr., Beverly Hills, CA 90210 Phone: 310-276-8211

Ethan Ryan Payton, MD - Medicare Family Practice in Beverly Hills, CA