Oleg Yuryevich Sorokoumov, MD in La Mesa, CA - Medicare Critical Care (intensivists)

Oleg Yuryevich Sorokoumov, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in La Mesa, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Emergency And Acute Care Medical Corporation, San Diego Critical Care Medical Group Inc and his current practice location is 5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (858) 248-3634.

Oleg Yuryevich Sorokoumov is licensed to practice in California (license number C55036) 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 1306870548.

Contact Information

	Oleg Yuryevich Sorokoumov, MD
	5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, CA 91942
	(858) 248-3634
	Not Available

Map and Direction

Physician's Profile

Full Name	Oleg Yuryevich Sorokoumov
Gender	Male
Speciality	Critical Care (intensivists)
Experience	27 Years
Location	5555 Grossmont Center Dr, La Mesa, 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:

Oleg Yuryevich Sorokoumov graduated from medical school in 1997

NPI Data:

NPI Number: 1306870548
Provider Enumeration Date: 07/11/2006
Last Update Date: 12/10/2015

Medicare PECOS Information:

PECOS PAC ID: 1850322066
Enrollment ID: I20120423000269

Medical Identifiers

Medical identifiers for Oleg Yuryevich Sorokoumov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306870548	NPI	-	NPPES
FY773	Other	CA	MEDICARE
1306870548	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	48325 (Wisconsin)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	C55036 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grossmont Hospital	La mesa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency And Acute Care Medical Corporation	9537108279	382
San Diego Critical Care Medical Group Inc	7911083886	37

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. Oleg Yuryevich Sorokoumov allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	San Diego Critical Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915990 PECOS PAC ID: 7911083886 Enrollment ID: O20090108000551

Entity Name	Knd Development 59 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249

Entity Name	24 On Physicians Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730570565 PECOS PAC ID: 7012228992 Enrollment ID: O20150618001426

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. Oleg Yuryevich Sorokoumov 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
Oleg Yuryevich Sorokoumov, MD 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (858) 248-3634	Oleg Yuryevich Sorokoumov, MD 5555 Grossmont Center Dr, Sharp Grossmont Hospital, La Mesa, CA 91942 Ph: (858) 248-3634

Reviews and Comments

Internal Medicine Doctors in La Mesa, CA

Alborz Hassankhani, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-668-0044 Fax: 619-245-2481
Paul Y Abou, MD Critical Care Medicine Medicare: May Accept Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-465-0711
Rosemary Ting Tu, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Bldg.#1, Suite#112, La Mesa, CA 91942 Phone: 619-469-5400 Fax: 619-464-1311
Dr. Lloyd Stuart Kuritsky, D.O. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, Suite 408, La Mesa, CA 91942 Phone: 619-589-8626 Fax: 619-589-8864
Purushotham Kotha, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr, #400, La Mesa, CA 91942 Phone: 619-229-1995
Dr. Leila Sofia Bolandgray, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-937-6349 Fax: 866-313-8916
Michael H Michalski, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5358 Jackson Dr, Suite 1, La Mesa, CA 91942 Phone: 619-667-7072 Fax: 619-667-7064

Oleg Yuryevich Sorokoumov, MD - Medicare Critical Care (intensivists) in La Mesa, CA