Alexander P Ierokomos, MD is a medicare enrolled "Otolaryngology" physician in French Camp, California. His current practice location is
500 W Hospital Rd, French Camp, California. You can reach out to his office (for appointments etc.) via phone at
(209) 468-6000.
Alexander P Ierokomos is licensed to practice in California (license number G41004) 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 1528009990.
Physician's Profile
| Full Name | Alexander P Ierokomos |
|---|
| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 500 W Hospital Rd, French Camp, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528009990
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 05/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 1254237001
- Enrollment ID: I20100113000971
Medical Identifiers
Medical identifiers for Alexander P Ierokomos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528009990 | NPI | - | NPPES |
| 1379502 | Medicaid | WA | |
| 0060170 | Other | WA | LABOR AND INDUSTRIES |
| 1528009990 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YS0012X | Otolaryngology - Sleep Medicine | MD00022010 (Washington) | Secondary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | MD00022010 (Washington) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MD00022010 (Washington) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | MD00022010 (Washington) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD00022010 (Washington) | Secondary |
| 207Y00000X | Otolaryngology | G41004 (California) | Primary |
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. Alexander P Ierokomos 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 |
|---|
Alexander P Ierokomos, MD
Po Box 1020,
Stockton, CA 95201-3120
Ph: (209) 468-6000 | Alexander P Ierokomos, MD
500 W Hospital Rd,
French Camp, CA 95231-9693
Ph: (209) 468-6000 |
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