Dr Jerome O List, DDS, MD is a medicare enrolled "Otolaryngology" physician in Eagle River, Alaska. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ear Nose And Throat Specialists Alaska, Inc and his current practice location is
12641 Old Glenn Hwy Ste 201, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 561-1421.
Dr Jerome O List is licensed to practice in Alaska (license number 2607) 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 1093776080.
Physician's Profile
| Full Name | Dr Jerome O List |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 55 Years |
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| Location | 12641 Old Glenn Hwy Ste 201, Eagle River, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerome O List graduated from medical school in 1969
NPI Data:
- NPI Number: 1093776080
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 01/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517950603
- Enrollment ID: I20120315000825
Medical Identifiers
Medical identifiers for Dr Jerome O List such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093776080 | NPI | - | NPPES |
| MD1123 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 2607 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ear Nose And Throat Specialists Alaska, Inc | 6204848294 | 11 |
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 Jerome O List allows following entities to bill medicare on his behalf.
| Entity Name | Ear Nose And Throat Specialists Alaska, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972552891
PECOS PAC ID: 6204848294
Enrollment ID: O20060609000194 |
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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 Jerome O List 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 |
|---|
Dr Jerome O List, DDS, MD
3841 Piper St Ste S433,
Anchorage, AK 99508-4624
Ph: (907) 561-1421 | Dr Jerome O List, DDS, MD
12641 Old Glenn Hwy Ste 201,
Eagle River, AK 99577-7040
Ph: (907) 561-1421 |
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