Dr Hyacinth Ezebilo Ezeani, DDS in Carson, CA

Dr Hyacinth Ezebilo Ezeani, DDS is a medicare enrolled "Dentist - General Practice" provider in Carson, California. His current practice location is 20763 Avalon Blvd, Carson, California. You can reach out to his office (for appointments etc.) via phone at (310) 719-1865.

Dr Hyacinth Ezebilo Ezeani is licensed to practice in California (license number 39398) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104016765.

Contact Information

	Dr Hyacinth Ezebilo Ezeani, DDS
	20763 Avalon Blvd, Carson, CA 90746-3313
	(310) 719-1865
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Hyacinth Ezebilo Ezeani
Gender	Male
Speciality	Dentist - General Practice
Location	20763 Avalon Blvd, Carson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104016765
Provider Enumeration Date: 07/30/2007
Last Update Date: 04/08/2015

Medicare PECOS Information:

PECOS PAC ID: 9436555380
Enrollment ID: I20210901002386

Medical Identifiers

Medical identifiers for Dr Hyacinth Ezebilo Ezeani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104016765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	39398 (California)	Secondary
1223G0001X	Dentist - General Practice	39398 (California)	Primary

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 Hyacinth Ezebilo Ezeani allows following entities to bill medicare on his behalf.

Entity Name	Ezeani Dds Dental Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689896458 PECOS PAC ID: 7618373564 Enrollment ID: O20210901002339

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 Hyacinth Ezebilo Ezeani 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
Dr Hyacinth Ezebilo Ezeani, DDS 600 W Manchester Ave Ste 2, Los Angeles, CA 90044-5700 Ph: (323) 750-1582	Dr Hyacinth Ezebilo Ezeani, DDS 20763 Avalon Blvd, Carson, CA 90746-3313 Ph: (310) 719-1865

Reviews and Comments

Dentist in Carson, CA

Dr. Jaubin Dinh Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1754 E Carson St, Carson, CA 90745 Phone: 310-518-7068 Fax: 310-518-7058
Dr. Michael Myungsup Oh, DMD Dentist Medicare: Medicare Enrolled Practice Location: 111 E Carson St, Ste 10, Carson, CA 90745 Phone: 310-835-7610 Fax: 310-835-7879
Dr. Namie Kong, DMD Dentist Medicare: Medicare Enrolled Practice Location: 20700 Avalon Blvd, Carson, CA 90746 Phone: 323-564-2444
Dr. Fariba Matinfar, Dentist Medicare: Medicare Enrolled Practice Location: 550 E Del Amo Blvd, Carson, CA 90746 Phone: 310-515-5672
Dr. Irene Delfin Ona, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 22211 Avalon Blvd, Carson, CA 90745 Phone: 310-835-9010
Maria Raye Gonzales Oliveros, DMD Dentist Medicare: Medicare Enrolled Practice Location: 625 E Carson St, Carson, CA 90745 Phone: 310-830-5787 Fax: 310-830-3348
Shahin Bayani, ORTHODONTIST Dentist Medicare: Not Enrolled in Medicare Practice Location: 20700 Avalon Blvd Ste 600, Carson, CA 90746 Phone: 617-335-8232

Dr Hyacinth Ezebilo Ezeani, DDS - Medicare Dentist in Carson, CA