Ebony Hillery, in Murrieta, CA - Medicare Nurse Practitioner

Ebony Hillery, is a medicare enrolled "Nurse Practitioner - Family" in Murrieta, California. Her current practice location is 41880 Kalmia St Ste 100, Murrieta, California. You can reach out to her office (for appointments etc.) via phone at (951) 696-7587.

Ebony Hillery is licensed to practice in California (license number 95028612) 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 1730822875.

Contact Information

	Ebony Hillery,
	41880 Kalmia St Ste 100, Murrieta, CA 92562-8835
	(951) 696-7587
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebony Hillery
Gender	Female
Speciality	Nurse Practitioner - Family
Location	41880 Kalmia St Ste 100, Murrieta, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730822875
Provider Enumeration Date: 04/17/2022
Last Update Date: 07/11/2024

Medicare PECOS Information:

PECOS PAC ID: 9032651823
Enrollment ID: I20240607002285

Medical Identifiers

Medical identifiers for Ebony Hillery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730822875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95028612 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95028612 (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. Ebony Hillery allows following entities to bill medicare on her behalf.

Entity Name	Carbon Health Medical Group Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417294232 PECOS PAC ID: 9032340047 Enrollment ID: O20140314001276

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. Ebony Hillery 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
Ebony Hillery, 4612 Eagle Ave, Perris, CA 92571-5160 Ph: (951) 990-3542	Ebony Hillery, 41880 Kalmia St Ste 100, Murrieta, CA 92562-8835 Ph: (951) 696-7587

Reviews and Comments

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Ebony Hillery, - Medicare Nurse Practitioner in Murrieta, CA