Nonna Lyn M Ebalo, MD - Pediatrics in South Boston, VA

Nonna Lyn M Ebalo, MD is a Pediatrics physician based in South Boston, Virginia. Nonna Lyn M Ebalo is licensed to practice in Virginia (license number 0101232220) and her current practice location is 2212 Wilborn Ave, South Boston, Virginia. She can be reached at her office (for appointments etc.) via phone at (434) 572-8921.

NPI number for Nonna Lyn M Ebalo is 1861472524 and her current mailing address is 2212 Wilborn Ave, South Boston, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861472524.

Contact Information

Nonna Lyn M Ebalo, MD
2212 Wilborn Ave,
South Boston, VA 24592-1630
(434) 572-8921
(434) 572-2063

Map and Direction




Physician's Profile

Full NameNonna Lyn M Ebalo
GenderFemale
SpecialityPediatrics
Location2212 Wilborn Ave, South Boston, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1861472524
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 09/24/2012

Medical Identifiers

Medical identifiers for Nonna Lyn M Ebalo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861472524NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101232220 (Virginia)Primary
208000000XPediatrics C51721 (California)Secondary

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. Nonna Lyn M Ebalo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nonna Lyn M Ebalo, MD
2212 Wilborn Ave,
South Boston, VA 24592-1630

Ph: (434) 572-8921
Nonna Lyn M Ebalo, MD
2212 Wilborn Ave,
South Boston, VA 24592-1630

Ph: (434) 572-8921

Reviews and Comments


Pediatrics Doctors in South Boston, VA

Maria Precious Tangan Torres, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2100 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-8022    Fax: 434-517-8022
Samantha Y King, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1627 Seymour Dr, South Boston, VA 24592
Phone: 434-575-1336    Fax: 434-575-1349
Dr. Candace Renee Clocker, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2100 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-8022    Fax: 434-517-8370

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.