Dr Gabriel Stephan Niles, MD in Los Angeles, CA

Dr Gabriel Stephan Niles, MD is a medicare enrolled "Family Medicine" physician in Los Angeles, California. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Saint Johns Medical Foundation and his current practice location is 12555 W Jefferson Blvd Ste 301, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (424) 443-5555.

Dr Gabriel Stephan Niles is licensed to practice in California (license number A100831) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285611699.

Contact Information

	Dr Gabriel Stephan Niles, MD
	12555 W Jefferson Blvd Ste 301, Los Angeles, CA 90066-7032
	(424) 443-5555
	(424) 443-5550

Map and Direction

Physician's Profile

Full Name	Dr Gabriel Stephan Niles
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	12555 W Jefferson Blvd Ste 301, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gabriel Stephan Niles graduated from medical school in 2005

NPI Data:

NPI Number: 1285611699
Provider Enumeration Date: 12/28/2005
Last Update Date: 11/28/2022

Medicare PECOS Information:

PECOS PAC ID: 2264601012
Enrollment ID: I20110811000471

Medical Identifiers

Medical identifiers for Dr Gabriel Stephan Niles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285611699	NPI	-	NPPES
2045010	Other	WA	WA MEDICAID PROVIDER ID
G8940666	Other	WA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD6030955 (Washington)	Secondary
207Q00000X	Family Medicine	A100831 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	273

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 Gabriel Stephan Niles allows following entities to bill medicare on his behalf.

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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 Gabriel Stephan Niles 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 Gabriel Stephan Niles, MD 12555 W Jefferson Blvd # 301, Los Angeles, CA 90066-7032 Ph: (424) 443-5555	Dr Gabriel Stephan Niles, MD 12555 W Jefferson Blvd Ste 301, Los Angeles, CA 90066-7032 Ph: (424) 443-5555

Reviews and Comments

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Srpouhi Gasparyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd Fl 4, Los Angeles, CA 90027 Phone: 626-318-8104
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Joy Go Legaspi, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 8638, Los Angeles, CA 90095 Phone: 310-267-7834
Dr. Afshin Akhavan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 E Washington Blvd, Los Angeles, CA 90015 Phone: 213-747-2626 Fax: 213-749-7500
Bruno J. Lewin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Gabriel Sanchez-aldana Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 S Grand Ave Ste 200, Los Angeles, CA 90015 Phone: 213-419-9600 Fax: 213-419-9900
Dr. Santiago Dayoan Corpuz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4643 Beverly Blvd Ste 101, Los Angeles, CA 90004 Phone: 323-461-4183 Fax: 323-461-0864

Dr Gabriel Stephan Niles, MD - Medicare Family Practice in Los Angeles, CA