Ethan Ezaki, in Los Angeles, CA - Medicare Physical Therapy Provider

Ethan Ezaki, is a medicare enrolled "Physical Therapist" provider in Los Angeles, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Westlake Sports Physical Therapy Inc and his current practice location is 11601 Wilshire Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (310) 914-4118.

Ethan Ezaki is licensed to practice in California (license number 28643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841204484.

Contact Information

	Ethan Ezaki,
	11601 Wilshire Blvd, Los Angeles, CA 90025-0509
	(310) 914-4118
	(310) 914-4119

Map and Direction

Healthcare Provider's Profile

Full Name	Ethan Ezaki
Gender	Male
Speciality	Physical Therapy
Experience	21 Years
Location	11601 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ethan Ezaki graduated from medical school in 2003

NPI Data:

NPI Number: 1841204484
Provider Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002899796
Enrollment ID: I20040611001540

Medical Identifiers

Medical identifiers for Ethan Ezaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841204484	NPI	-	NPPES
28643	Other	CA	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	28643 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Westlake Sports Physical Therapy Inc	1153368303	3

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. Ethan Ezaki allows following entities to bill medicare on his behalf.

Provider Name	Westlake Sports Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1023153236 PECOS PAC ID: 1153368303 Enrollment ID: O20050411000231

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. Ethan Ezaki 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
Ethan Ezaki, 11601 Wilshire Blvd, Los Angeles, CA 90025-0509 Ph: (310) 914-4118	Ethan Ezaki, 11601 Wilshire Blvd, Los Angeles, CA 90025-0509 Ph: (310) 914-4118

Reviews and Comments

Physical Therapist in Los Angeles, CA

Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990

Ethan Ezaki, - Medicare Physical Therapist in Los Angeles, CA