Dr Ebonie Michele Vazquez, MD in Culver City, CA - Medicare Psychiatry & Neurology

Dr Ebonie Michele Vazquez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Culver City, California. Her current practice location is 4760 Sepulveda Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (310) 390-6612.

Dr Ebonie Michele Vazquez is licensed to practice in California (license number A104737) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558562660.

Contact Information

	Dr Ebonie Michele Vazquez, MD
	4760 Sepulveda Blvd, Culver City, CA 90230-4820
	(310) 390-6612
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ebonie Michele Vazquez
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4760 Sepulveda Blvd, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558562660
Provider Enumeration Date: 05/29/2007
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6103094735
Enrollment ID: I20110726000163

Medical Identifiers

Medical identifiers for Dr Ebonie Michele Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558562660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A104737 (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 Ebonie Michele Vazquez allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Ebonie Michele Vazquez 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 Ebonie Michele Vazquez, MD 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612	Dr Ebonie Michele Vazquez, MD 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612

Reviews and Comments

Psychiatry & Neurology Doctors in Culver City, CA

Emily Anne Bost-baxter, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 10559 Jefferson Blvd, Culver City, CA 90232 Phone: 310-405-6902
Dr. Curley L. Bonds, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612
Dr. Jeremy Defranco, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3831 Hughes Ave, Suite 506, Culver City, CA 90232 Phone: 267-408-7916
Jesus Exposito Cespedes, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 700, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356
Dr. Jude James Mcelroy, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9808 Venice Blvd, Suite 505, Culver City, CA 90232 Phone: 310-825-1752
Dr. Beverly Reader, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 Phone: 310-301-7396
Dr. Andrew R Dow, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5590

Dr Ebonie Michele Vazquez, MD - Medicare Psychiatry & Neurology in Culver City, CA