Evelyn Dianna Jankowski, MD is a medicare enrolled "Dermatology" physician in Granada Hills, California. She went to University Of Southern California Keck School Of Medicine and graduated in 1975 and has 49 years of diverse experience with area of expertise as Dermatology. Her current practice location is
10316 Woodley Ave, Granada Hills, California. You can reach out to her office (for appointments etc.) via phone at
(818) 368-5651.
Evelyn Dianna Jankowski is licensed to practice in California (license number G032630) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083604755.
Physician's Profile
| Full Name | Evelyn Dianna Jankowski |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 49 Years |
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| Location | 10316 Woodley Ave, Granada Hills, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Evelyn Dianna Jankowski attended and graduated from University Of Southern California Keck School Of Medicine in 1975
NPI Data:
- NPI Number: 1083604755
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 06/22/2010
Medicare PECOS Information:
- PECOS PAC ID: 3971785080
- Enrollment ID: I20120113000244
Medical Identifiers
Medical identifiers for Evelyn Dianna Jankowski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083604755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | G032630 (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. Evelyn Dianna Jankowski allows following entities to bill medicare on her behalf.
| Entity Name | Evelyn Jankowski Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831200633
PECOS PAC ID: 1850365958
Enrollment ID: O20040824000958 |
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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. Evelyn Dianna Jankowski 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 |
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Evelyn Dianna Jankowski, MD
10316 Woodley Ave,
Granada Hills, CA 91344-6916
Ph: (818) 368-5651 | Evelyn Dianna Jankowski, MD
10316 Woodley Ave,
Granada Hills, CA 91344-6916
Ph: (818) 368-5651 |
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