Evon Ghatas Ebraham, MD in Loma Linda, CA

Evon Ghatas Ebraham, MD is a medicare enrolled "Family Medicine" physician in Loma Linda, California. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 25455 Barton Rd, Suite A, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4000.

Evon Ghatas Ebraham is licensed to practice in California (license number A97683) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629285465.

Contact Information

	Evon Ghatas Ebraham, MD
	25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128
	(909) 558-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Evon Ghatas Ebraham
Gender	Female
Speciality	Family Practice
Experience	30 Years
Location	25455 Barton Rd, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evon Ghatas Ebraham graduated from medical school in 1994

NPI Data:

NPI Number: 1629285465
Provider Enumeration Date: 05/17/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9335326156
Enrollment ID: I20110603000487

Medical Identifiers

Medical identifiers for Evon Ghatas Ebraham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629285465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A97683 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital Fontana/ontario	Fontana, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Evon Ghatas Ebraham allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Evon Ghatas Ebraham 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
Evon Ghatas Ebraham, MD 25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128 Ph: (909) 558-4000	Evon Ghatas Ebraham, MD 25455 Barton Rd, Suite A, Loma Linda, CA 92354-3128 Ph: (909) 558-4000

Reviews and Comments

Family Medicine Doctors in Loma Linda, CA

Ecler Ercole Jaqua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Mark S Sutton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Lauren Simon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Barbara Orr, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25455 Barton Rd, Ste 204b, Loma Linda, CA 92354 Phone: 909-558-6600
Victoria V Teppone, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-6600
Dr. Prashanth Gowda, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Va Loma Linda Health Care System, 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Roger D. Woodruff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd Ste 206a, Loma Linda, CA 92354 Phone: 909-558-6505 Fax: 909-558-6701

Evon Ghatas Ebraham, MD - Medicare Family Practice in Loma Linda, CA