Basil O Ike Jr, in Orange, CA - Medicare Family Medicine

Basil O Ike Jr, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Orange, California. His current practice location is 101 The City Dr S, Orange, California. You can reach out to his office (for appointments etc.) via phone at (999) 999-9999.

Basil O Ike Jr is licensed to practice in California (license number 20A19702) 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 1114553146.

Contact Information

	Basil O Ike Jr,
	101 The City Dr S, Orange, CA 92868-3201
	(999) 999-9999
	Not Available

Map and Direction

Physician's Profile

Full Name	Basil O Ike Jr
Gender	Male
Speciality	Family Medicine - Sports Medicine
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114553146
Provider Enumeration Date: 03/21/2020
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 3173973914
Enrollment ID: I20240917004404

Medical Identifiers

Medical identifiers for Basil O Ike Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114553146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	20A19702 (California)	Primary

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. Basil O Ike Jr allows following entities to bill medicare on his behalf.

Entity Name	Sd Sports Medicine And Family Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669472510 PECOS PAC ID: 7113812496 Enrollment ID: O20040315001639

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. Basil O Ike Jr 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
Basil O Ike Jr, 200 S Manchester Ave Ste 835, Orange, CA 92868-3213 Ph: () -	Basil O Ike Jr, 101 The City Dr S, Orange, CA 92868-3201 Ph: (999) 999-9999

Reviews and Comments

Family Medicine Doctors in Orange, CA

Catherine Cummins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Uci Medical Center, 101 The City Drive South, Orange, CA 92868 Phone: 714-456-8978
Rolf D. Knapp, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 N Santiago Blvd, Orange, CA 92867 Phone: 714-921-1030 Fax: 714-921-1032
Dr. Heather Dehaan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-740-7956
Dr. Lawrence Roger Brownlee, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2617 E. Chapman Ave., Suite 306, Orange, CA 92869 Phone: 714-669-4442
Hal S Shimazu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 E Chapman Ave, Orange, CA 92866 Phone: 714-997-2899 Fax: 714-289-7062
Shiho I Ito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-8888

Basil O Ike Jr, - Medicare Family Medicine in Orange, CA