Dr Elisabeth Jannicky, MD - Medicare Emergency Medicine in Manhattan Beach, CA

Dr Elisabeth Jannicky, MD is a medicare enrolled "Emergency Medicine" physician in Manhattan Beach, California. She went to University Of Vermont College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Exer Medical Corporation and her current practice location is 111 N Sepulveda Blvd, Suite 210, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 379-2134.

Dr Elisabeth Jannicky is licensed to practice in California (license number A125831) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538397674.

Contact Information

Dr Elisabeth Jannicky, MD
111 N Sepulveda Blvd, Suite 210,
Manhattan Beach, CA 90266-6861
(310) 379-2134
Not Available



Physician's Profile

Full NameDr Elisabeth Jannicky
GenderFemale
SpecialityEmergency Medicine
Experience15 Years
Location111 N Sepulveda Blvd, Manhattan Beach, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Elisabeth Jannicky attended and graduated from University Of Vermont College Of Medicine in 2009
  NPI Data:
  • NPI Number: 1538397674
  • Provider Enumeration Date: 06/27/2009
  • Last Update Date: 08/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6406003904
  • Enrollment ID: I20130820000438

Medical Identifiers

Medical identifiers for Dr Elisabeth Jannicky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538397674NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A125831 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Exer Medical Corporation9032359534230

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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. Dr Elisabeth Jannicky allows following entities to bill medicare on her behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822

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Entity NameCulver Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699907923
PECOS PAC ID: 0244378677
Enrollment ID: O20091105000182

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Entity NameRedondo Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376834937
PECOS PAC ID: 9032388269
Enrollment ID: O20110804000471

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Entity NameTorrance Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083903124
PECOS PAC ID: 1355302134
Enrollment ID: O20110819000276

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Entity NameExer Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588901532
PECOS PAC ID: 9032359534
Enrollment ID: O20130705000153

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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. Dr Elisabeth Jannicky 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 AddressPractice Location Address
Dr Elisabeth Jannicky, MD
111 N Sepulveda Blvd, Suite 210,
Manhattan Beach, CA 90266-6861

Ph: (310) 379-2134
Dr Elisabeth Jannicky, MD
111 N Sepulveda Blvd, Suite 210,
Manhattan Beach, CA 90266-6861

Ph: (310) 379-2134

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Emergency Medicine Doctors in Manhattan Beach, CA

Gregor Mciver,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 836 14th St, Manhattan Beach, CA 90266
Phone: 310-346-9422    
Peter James Bloomfield, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 229 16th St, Manhattan Beach, CA 90266
Phone: 310-218-7002    
Dr. Albert Tuong-quang Nguyen, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1467 6th St, Manhattan Beach, CA 90266
Phone: 909-528-7026    
Sandra Isnasious, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Sepulveda Blvd, Manhattan Beach, CA 90266
Phone: 424-295-0540    
David Sung Kwon, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 N Sepulveda Blvd, #210, Manhattan Beach, CA 90266
Phone: 310-379-2134    
Jose L Cervantes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 N Sepulveda Blvd, #543, Manhattan Beach, CA 90266
Phone: 424-217-3227    
Andrea W Wu, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 N Sepulveda Blvd, Suite 210, Manhattan Beach, CA 90266
Phone: 310-379-2134    

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