Nonna Lyn M Ebalo, MD in South Boston, VA - Pediatrics

Nonna Lyn M Ebalo, MD is a Pediatrics physician based in South Boston, Virginia. Nonna Lyn M Ebalo is licensed to practice in Virginia (license number 0101232220) and her current practice location is 2212 Wilborn Ave, South Boston, Virginia. She can be reached at her office (for appointments etc.) via phone at (434) 572-8921.

NPI number for Nonna Lyn M Ebalo is 1861472524 and her current mailing address is 2212 Wilborn Ave, South Boston, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861472524.

Contact Information

	Nonna Lyn M Ebalo, MD
	2212 Wilborn Ave, South Boston, VA 24592-1630
	(434) 572-8921
	(434) 572-2063

Physician's Profile

Full Name	Nonna Lyn M Ebalo
Gender	Female
Speciality	Pediatrics
Location	2212 Wilborn Ave, South Boston, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1861472524
Provider Enumeration Date: 01/19/2006
Last Update Date: 09/24/2012

Medical Identifiers

Medical identifiers for Nonna Lyn M Ebalo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861472524	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101232220 (Virginia)	Primary
208000000X	Pediatrics	C51721 (California)	Secondary

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. Nonna Lyn M Ebalo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nonna Lyn M Ebalo, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921	Nonna Lyn M Ebalo, MD 2212 Wilborn Ave, South Boston, VA 24592-1630 Ph: (434) 572-8921

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Pediatrics Doctors in South Boston, VA

Maria Precious Tangan Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8022
Samantha Y King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-575-1336 Fax: 434-575-1349
Dr. Candace Renee Clocker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8370

Nonna Lyn M Ebalo, MD - Pediatrics in South Boston, VA