Edna S Vianzon, MD in Dayton, OH - Medicare Pediatrics

Edna S Vianzon, MD is a medicare enrolled "Pediatrics" physician in Dayton, Ohio. Her current practice location is 1152 W 3rd St Ste 102, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 268-3483.

Edna S Vianzon is licensed to practice in Ohio (license number 35083899V) 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 1790761989.

Contact Information

	Edna S Vianzon, MD
	1152 W 3rd St Ste 102, Dayton, OH 45402-6848
	(937) 268-3483
	(937) 268-1884

Map and Direction

Physician's Profile

Full Name	Edna S Vianzon
Gender	Female
Speciality	Pediatrics
Location	1152 W 3rd St Ste 102, Dayton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790761989
Provider Enumeration Date: 12/20/2005
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0840680476
Enrollment ID: I20211214000864

Medical Identifiers

Medical identifiers for Edna S Vianzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790761989	NPI	-	NPPES
2462026	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35083899V (Ohio)	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. Edna S Vianzon allows following entities to bill medicare on her behalf.

Entity Name	Northshore Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220

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. Edna S Vianzon 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
Edna S Vianzon, MD Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072	Edna S Vianzon, MD 1152 W 3rd St Ste 102, Dayton, OH 45402-6848 Ph: (937) 268-3483

Reviews and Comments

Pediatrics Doctors in Dayton, OH

Hemanth Shimoga Lingadevaru, MD,MPH,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3000 Fax: 937-641-3107
Tanya Paul, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802
Dr. Sara Frances Guerrero-duby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1010 Valley St, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500
Dr. Rory Jon Peppard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Wyoming St, Neonatology Office, Dayton, OH 45409 Phone: 937-208-2907 Fax: 937-208-4515
Dr. Emmett H Broxson Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3111 Fax: 937-641-5885
Dr. Ramakrishna Mutyala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 934-641-4500
Bryce Lawrence Willen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-3600 Fax: 937-641-5802

Edna S Vianzon, MD - Medicare Pediatrics in Dayton, OH