Dr Ilavenil Wilson, MD, - Medicare Obstetrics & Gynecology in Loma Linda, CA

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Dr Ilavenil Wilson, MD, is a medicare enrolled "Obstetrics & Gynecology" physician in Loma Linda, California. Her current practice location is 25805 Barton Rd Ste 107, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 709-1975.

Dr Ilavenil Wilson is licensed to practice in California (license number A143922) 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 1932510963.

Contact Information

Dr Ilavenil Wilson, MD,
25805 Barton Rd Ste 107,
Loma Linda, CA 92354-3890
(909) 709-1975
Not Available

Map and Direction




Physician's Profile

Full NameDr Ilavenil Wilson
GenderFemale
SpecialityObstetrics & Gynecology
Location25805 Barton Rd Ste 107, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932510963
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517248644
  • Enrollment ID: I20170104001774

Medical Identifiers

Medical identifiers for Dr Ilavenil Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932510963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A143922 (California)Secondary
208D00000XGeneral Practice A143922 (California)Secondary
207V00000XObstetrics & Gynecology A143922 (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 Ilavenil Wilson allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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 Ilavenil Wilson 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 AddressPractice Location Address
Dr Ilavenil Wilson, MD,
193 N Plymouth Way,
San Bernardino, CA 92408-4122

Ph: (909) 709-1975		Dr Ilavenil Wilson, MD,
25805 Barton Rd Ste 107,
Loma Linda, CA 92354-3890

Ph: (909) 709-1975

Reviews and Comments


Obstetrics & Gynecology Doctors in Loma Linda, CA

Samira Monavvari, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Danielle C.a. Sawyer-macknet, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 25805 Barton Rd, Suite 107, Loma Linda, CA 92354
Phone: 909-478-7700    Fax: 909-478-7705
Dr. Tiare Nicole Evans, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Kevin C Balli, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Juthamas Kositsawat,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Loma Linda, CA 92354
Phone: 909-558-2806    
Hermina Salvador, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Ai-mae Chee Watkins, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.