Nicholas N Dzebolo, MD - Medicare Interventional Radiology in Los Angeles, CA

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Nicholas N Dzebolo, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Los Angeles, California. He went to Hahnemann University College Of Medicine and graduated in 1973 and has 52 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice United Medical Imaging Healthcare Inc, Scranton Quincy Clinic Company Llc, Healthier Lifestyle Medical Group Inc, Glendale Diagnostic Imaging Network Medical Office Inc, Scranton Hospitalist Physician Services Llc, Mount Nittany Medical Center Health Services Inc, Scranton Quincy Clinic Company Llc, Scranton Hospitalist Physician Services Llc and his current practice location is 2105 Beverly Blvd Ste 111, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 484-3994.

Nicholas N Dzebolo is licensed to practice in California (license number G036396) 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 1932239837.

Contact Information

Nicholas N Dzebolo, MD
2105 Beverly Blvd Ste 111,
Los Angeles, CA 90057-2252
(213) 484-3994
(212) 484-8795

Map and Direction




Physician's Profile

Full NameNicholas N Dzebolo
GenderMale
SpecialityInterventional Radiology
Experience52 Years
Location2105 Beverly Blvd Ste 111, Los Angeles, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas N Dzebolo attended and graduated from Hahnemann University College Of Medicine in 1973
  NPI Data:
  • NPI Number: 1932239837
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 11/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3678464013
  • Enrollment ID: I20040323002048

Medical Identifiers

Medical identifiers for Nicholas N Dzebolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932239837NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0904XRadiology - Nuclear Radiology G036396 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology G036396 (California)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology G036396 (California)Secondary
207RI0011XInternal Medicine - Interventional Cardiology G036396 (California)Primary
207UN0901XNuclear Medicine - Nuclear Cardiology G036396 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regional Hospital Of ScrantonScranton, PAHospital
Mount Nittany Medical CenterState college, PAHospital
Milton S Hershey Medical CenterHershey, PAHospital
Wilkes-barre General HospitalWilkes-barre, PAHospital
Geisinger-lewistown HospitalLewistown, PAHospital

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. Nicholas N Dzebolo allows following entities to bill medicare on his behalf.
Entity NameGlendale Diagnostic Imaging Network Medical Office Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902814759
PECOS PAC ID: 6305877051
Enrollment ID: O20050920000539
Entity NameUnited Medical Imaging Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760572036
PECOS PAC ID: 0143311241
Enrollment ID: O20070803000169
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200414001788
Entity NameBeverly Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326622143
PECOS PAC ID: 4385044858
Enrollment ID: O20210621002761
Entity NameHealthier Lifestyle Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902421480
PECOS PAC ID: 1355742453
Enrollment ID: O20210628000698
Entity NameSpirit Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255029799
PECOS PAC ID: 7517324197
Enrollment ID: O20230613002645
Entity NameCentral Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639924319
PECOS PAC ID: 0244775005
Enrollment ID: O20240716004721
Entity NameNicola Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841035615
PECOS PAC ID: 7517404445
Enrollment ID: O20240808003368
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154776797
PECOS PAC ID: 5698065142
Enrollment ID: O20241003000440
Entity NameMount Nittany Medical Center Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598992554
PECOS PAC ID: 8426136797
Enrollment ID: O20241127001204

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. Nicholas N Dzebolo 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
Nicholas N Dzebolo, MD
1100 Ridgeside Dr,
Monterey Park, CA 91754-3731

Ph: (626) 281-6442		Nicholas N Dzebolo, MD
2105 Beverly Blvd Ste 111,
Los Angeles, CA 90057-2252

Ph: (213) 484-3994

Reviews and Comments


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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.

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