Ryan W Rebbe, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. His current practice location is
1100 N. State Street, Clinic Tower A7d, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 409-6931.
Ryan W Rebbe is licensed to practice in California (license number A195356) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215490859.
Physician's Profile
Full Name | Ryan W Rebbe |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1100 N. State Street, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215490859
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012245830
- Enrollment ID: I20190817000369
Medical Identifiers
Medical identifiers for Ryan W Rebbe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215490859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZN0500X | Pathology - Neuropathology | A195356 (California) | Secondary |
207ZP0007X | Pathology - Molecular Genetic Pathology | A195356 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A195356 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | A195356 (California) | Primary |
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. Ryan W Rebbe 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 |
Ryan W Rebbe, MD 1100 N. State Street, Clinic Tower A7d, Los Angeles, CA 90033 Ph: (323) 409-6931 | Ryan W Rebbe, MD 1100 N. State Street, Clinic Tower A7d, Los Angeles, CA 90033 Ph: (323) 409-6931 |
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