Ezequiel Adony Andrade, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" provider in Harbor City, California. His current practice location is
1403 Lomita Blvd Ste 102, Harbor City, California. You can reach out to his office (for appointments etc.) via phone at
(424) 306-4000.
Ezequiel Adony Andrade is licensed to practice in California (license number A181210) 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 1689296576.
Healthcare Provider's Profile
Full Name | Ezequiel Adony Andrade |
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Gender | Male |
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Speciality | Family Medicine - Geriatric Medicine |
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Location | 1403 Lomita Blvd Ste 102, Harbor City, 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: 1689296576
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 02/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224562921
- Enrollment ID: I20241115003863
Medical Identifiers
Medical identifiers for Ezequiel Adony Andrade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689296576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | A181210 (California) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | A181210 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Ezequiel Adony Andrade allows following entities to bill medicare on his behalf.
Entity Name | County Of Los Angeles |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1780877613 PECOS PAC ID: 1850296534 Enrollment ID: O20090713000358 |
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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. Ezequiel Adony Andrade 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 |
Ezequiel Adony Andrade, MD 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 Ph: (424) 306-6500 | Ezequiel Adony Andrade, MD 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 Ph: (424) 306-4000 |
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