Earl George Freymiller, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Los Angeles, California. His current practice location is
10833 Le Conte Ave, Ao-156, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(310) 825-0834.
Earl George Freymiller is licensed to practice in California (license number SP139) 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 1154536845.
Healthcare Provider's Profile
Full Name | Earl George Freymiller |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 10833 Le Conte Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154536845
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 03/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 7911971817
- Enrollment ID: I20040825001201
Medical Identifiers
Medical identifiers for Earl George Freymiller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154536845 | NPI | - | NPPES |
D00139 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | SP 139 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | SP139 (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. Earl George Freymiller allows following entities to bill medicare on his behalf.
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689692303 PECOS PAC ID: 8820268063 Enrollment ID: O20110826000254 |
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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. Earl George Freymiller 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 |
Earl George Freymiller, DMD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 825-0863 | Earl George Freymiller, DMD 10833 Le Conte Ave, Ao-156, Los Angeles, CA 90095-1668 Ph: (310) 825-0834 |
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