Dr Ebony Nicole Funches, DNP, FNP-C, AG-ACNP - Medicare Nurse Practitioner in Venice, CA

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Dr Ebony Nicole Funches, DNP, FNP-C, AG-ACNP is a medicare enrolled "Nurse Practitioner - Family" in Venice, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Venice Family Clinic and her current practice location is 604 Rose Ave, Venice, California. You can reach out to her office (for appointments etc.) via phone at (310) 392-8636.

Dr Ebony Nicole Funches is licensed to practice in California (license number 95002049) 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 1639569247.

Contact Information

Dr Ebony Nicole Funches, DNP, FNP-C, AG-ACNP
604 Rose Ave,
Venice, CA 90291-2767
(310) 392-8636
(310) 392-6642

Map and Direction




Provider's Profile

Full NameDr Ebony Nicole Funches
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location604 Rose Ave, Venice, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ebony Nicole Funches graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1639569247
  • Provider Enumeration Date: 02/03/2015
  • Last Update Date: 02/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971805847
  • Enrollment ID: I20160108001769

Medical Identifiers

Medical identifiers for Dr Ebony Nicole Funches such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639569247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95002049 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Venice Family Clinic226433912650

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. Dr Ebony Nicole Funches allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameVenice Family Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669418513
PECOS PAC ID: 2264339126
Enrollment ID: O20031217001082
Entity NameSt Johns Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434

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. Dr Ebony Nicole Funches 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
Dr Ebony Nicole Funches, DNP, FNP-C, AG-ACNP
604 Rose Ave,
Venice, CA 90291-2767

Ph: (310) 392-8636		Dr Ebony Nicole Funches, DNP, FNP-C, AG-ACNP
604 Rose Ave,
Venice, CA 90291-2767

Ph: (310) 392-8636

Reviews and Comments


Nurse Practitioner Nurses in Venice, CA

Alain Broulard,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1122 Garfield Ave, Venice, CA 90291
Phone: 818-384-0927    
Elisabeth Helen Cederblom, FNP
Nurse Practitioner
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Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    
Bridget Kelleher, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    
Danielle Sinkford, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    
Nancy Marie Pierre-paul, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    
Janet Chaidez,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    
Mrs. Ligaya Docena Scarlett, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Rose Ave, Venice, CA 90291
Phone: 310-392-8636    Fax: 310-664-7913

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.