Dr Daniel Ezroj, MD is a medicare enrolled "Pediatrics" physician in Santa Paula, California. His current practice location is
258 E Harvard Blvd, Santa Paula, California. You can reach out to his office (for appointments etc.) via phone at
(805) 525-5518.
Dr Daniel Ezroj is licensed to practice in California (license number A144743) 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 1225440217.
Physician's Profile
| Full Name | Dr Daniel Ezroj |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 258 E Harvard Blvd, Santa Paula, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1225440217
- Provider Enumeration Date: 05/23/2014
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577833250
- Enrollment ID: I20170728001122
Medical Identifiers
Medical identifiers for Dr Daniel Ezroj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225440217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | A144743 (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 Daniel Ezroj allows following entities to bill medicare on his behalf.
| Entity Name | Community Memorial Health System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215903018
PECOS PAC ID: 9537155676
Enrollment ID: O20040422001668 |
|---|
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 Daniel Ezroj 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 Daniel Ezroj, MD
5855 Olivas Park Dr,
Ventura, CA 93003-7672
Ph: (805) 667-2801 | Dr Daniel Ezroj, MD
258 E Harvard Blvd,
Santa Paula, CA 93060-3372
Ph: (805) 525-5518 |
Reviews and Comments