Reginald A Ebirim, MD in New London, WI - Medicare Family Practice

Reginald A Ebirim, MD is a medicare enrolled "Family Medicine" physician in New London, Wisconsin. He went to Illinois Medical College and graduated in 2002 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Rockford Health Physicians, Lake Immediate Care And Clinic S C and his current practice location is 1405 Mill St, New London, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 531-2000.

Reginald A Ebirim is licensed to practice in Wisconsin (license number 68084) 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 1396702957.

Contact Information

	Reginald A Ebirim, MD
	1405 Mill St, New London, WI 54961-2155
	(920) 531-2000
	(920) 531-2098

Map and Direction

Physician's Profile

Full Name	Reginald A Ebirim
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	1405 Mill St, New London, Wisconsin
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:

Reginald A Ebirim attended and graduated from Illinois Medical College in 2002

NPI Data:

NPI Number: 1396702957
Provider Enumeration Date: 04/27/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6406889690
Enrollment ID: I20050917000240

Medical Identifiers

Medical identifiers for Reginald A Ebirim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396702957	NPI	-	NPPES
036113328	Medicaid	IL
036113328-6	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036113328 (Illinois)	Secondary
207Q00000X	Family Medicine	68084 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Javon Bea Hospital	Rockford, IL	Hospital
Northwestern Medicine Mchenry Hospital	Mchenry, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rockford Health Physicians	2567374036	362
Lake Immediate Care And Clinic S C	4183881899	2

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. Reginald A Ebirim allows following entities to bill medicare on his behalf.

Entity Name	Rockford Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584

Entity Name	Illinois Emergency Staffing Solutions, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699915348 PECOS PAC ID: 7810044377 Enrollment ID: O20090421000050

Entity Name	Hcc Region Ii Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528237559 PECOS PAC ID: 1759453178 Enrollment ID: O20090529000084

Entity Name	Lake Immediate Care & Clinic S C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114208642 PECOS PAC ID: 4183881899 Enrollment ID: O20120208000699

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. Reginald A Ebirim 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
Reginald A Ebirim, MD 2670 Lake Reunion Rd, Decatur, IL 62521-8407 Ph: (217) 543-3869	Reginald A Ebirim, MD 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2000

Reviews and Comments

Family Medicine Doctors in New London, WI

Donn Fuhrmann, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450
Karly Lynn Johannsen, Family Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2404
Timothy Houlihan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450
Renae Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450
Felix Jolly Odathil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2450
Dale L Schlais, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1420 Algoma St, New London, WI 54961 Phone: 920-982-8300

Reginald A Ebirim, MD - Medicare Family Practice in New London, WI