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

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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 22 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 NameReginald A Ebirim
GenderMale
SpecialityFamily Practice
Experience22 Years
Location1405 Mill St, New London, Wisconsin
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1396702957NPI-NPPES
036113328MedicaidIL
036113328-6MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036113328 (Illinois)Secondary
207Q00000XFamily Medicine 68084 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Javon Bea HospitalRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Health Physicians2567374036289
Lake Immediate Care And Clinic S C41838818992

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 NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameInpatient Consultants Of Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003850843
PECOS PAC ID: 9537064316
Enrollment ID: O20031204000698
Entity NameIllinois Emergency Staffing Solutions, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699915348
PECOS PAC ID: 7810044377
Enrollment ID: O20090421000050
Entity NameHcc Region Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528237559
PECOS PAC ID: 1759453178
Enrollment ID: O20090529000084
Entity NameLake Immediate Care & Clinic S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    Fax: 920-531-2450
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: Accepting Medicare Assignments
Practice Location: 1420 Algoma St, New London, WI 54961
Phone: 920-982-8300    
Joseph Lamb, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    Fax: 920-531-2450

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.