Miss Charlotte Amelia Ebner, DO - Medicare Family Medicine in Lawrenceville, GA

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Miss Charlotte Amelia Ebner, DO is a medicare enrolled "Family Medicine" physician in Lawrenceville, Georgia. Her current practice location is 2878 Five Forks Trickum Rd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 344-8700.

Miss Charlotte Amelia Ebner is licensed to practice in Georgia (license number 069580) 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 1912228941.

Contact Information

Miss Charlotte Amelia Ebner, DO
2878 Five Forks Trickum Rd,
Lawrenceville, GA 30044-5896
(678) 344-8700
(678) 344-8600

Map and Direction




Physician's Profile

Full NameMiss Charlotte Amelia Ebner
GenderFemale
SpecialityFamily Medicine
Location2878 Five Forks Trickum Rd, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912228941
  • Provider Enumeration Date: 06/14/2010
  • Last Update Date: 02/03/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8628241601
  • Enrollment ID: I20130716000142

Medical Identifiers

Medical identifiers for Miss Charlotte Amelia Ebner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912228941NPI-NPPES
P01117581OtherSCRAILROAD MEDICARE
013906MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 069580 (Georgia)Primary
207Q00000XFamily Medicine 1390 (South Carolina)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. Miss Charlotte Amelia Ebner allows following entities to bill medicare on her behalf.
Entity NameReagan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952316747
PECOS PAC ID: 6507779329
Enrollment ID: O20031107000573

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. Miss Charlotte Amelia Ebner 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 AddressPractice Location Address
Miss Charlotte Amelia Ebner, DO
2878 Five Forks Trickum Road,
Lawrenceville, GA 30044

Ph: (678) 344-8700		Miss Charlotte Amelia Ebner, DO
2878 Five Forks Trickum Rd,
Lawrenceville, GA 30044-5896

Ph: (678) 344-8700

Reviews and Comments


Family Medicine Doctors in Lawrenceville, GA

Kelsea Leverett,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 908 Arbor Crowne Dr, Lawrenceville, GA 30045
Phone: 404-713-3985    
Dr. Carolyn Barnwell Petrey, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 696 Grayson Hwy, Family Practice Clinic Pc, Lawrenceville, GA 30046
Phone: 770-963-0927    Fax: 770-963-9772
Sheila Kennedy, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044
Phone: 678-578-4983    Fax: 678-578-4988
Dr. Sana Rabbi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046
Phone: 678-985-5000    
Dr. Eda Moonhi Kim, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1600 N Brown Rd, Lawrenceville, GA 30043
Phone: 678-710-6872    
Dr. Michael Curtis Cranford, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046
Phone: 678-312-0400    
Dr. Thenmozhi Singaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046
Phone: 678-985-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.