Evan Ross Gordon-wollin, DO - Medicare Internal Medicine in Santa Monica, CA

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Evan Ross Gordon-wollin, DO is a medicare enrolled "Internal Medicine" physician in Santa Monica, California. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kansal Inc and his current practice location is 1426 Montana Ave Ste 2, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 388-6798.

Evan Ross Gordon-wollin is licensed to practice in California (license number 20A16019) 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 1548616873.

Contact Information

Evan Ross Gordon-wollin, DO
1426 Montana Ave Ste 2,
Santa Monica, CA 90403-1763
(310) 388-6798
Not Available

Map and Direction




Physician's Profile

Full NameEvan Ross Gordon-wollin
GenderMale
SpecialityInternal Medicine
Experience8 Years
Location1426 Montana Ave Ste 2, Santa Monica, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan Ross Gordon-wollin attended and graduated from Western University Of Health Sciences College Of Dental Med in 2016
  NPI Data:
  • NPI Number: 1548616873
  • Provider Enumeration Date: 05/05/2016
  • Last Update Date: 06/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739411778
  • Enrollment ID: I20191024001941

Medical Identifiers

Medical identifiers for Evan Ross Gordon-wollin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548616873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 20A16019 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cedars-sinai Medical CenterLos angeles, CAHospital
Cedar-sinai Marina Del Rey HospitalMarina del rey, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kansal Inc640608973918

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. Evan Ross Gordon-wollin allows following entities to bill medicare on his behalf.
Entity NameKansal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043510183
PECOS PAC ID: 6406089739
Enrollment ID: O20140512001295
Entity NameInpatient Specialists Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952792475
PECOS PAC ID: 3476864448
Enrollment ID: O20150617000915
Entity NameEvan Gordon-wollin Do
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710747175
PECOS PAC ID: 6507207081
Enrollment ID: O20240515001599

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. Evan Ross Gordon-wollin 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
Evan Ross Gordon-wollin, DO
Po Box 69446,
West Hollywood, CA 90069-0446

Ph: (310) 388-6798		Evan Ross Gordon-wollin, DO
1426 Montana Ave Ste 2,
Santa Monica, CA 90403-1763

Ph: (310) 388-6798

Reviews and Comments


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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.