Dr Spyros Michael Siscos, MD in Los Angeles, CA

Dr Spyros Michael Siscos, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Los Angeles, California. His current practice location is 200 Medical Plaza Driveway Suite 465, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (913) 744-9472.

Dr Spyros Michael Siscos is licensed to practice in California (license number A177736) 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 1154826204.

Contact Information

	Dr Spyros Michael Siscos, MD
	200 Medical Plaza Driveway Suite 465, Los Angeles, CA 90095-0001
	(913) 744-9472
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Spyros Michael Siscos
Gender	Male
Speciality	Dermatology - Mohs-micrographic Surgery
Location	200 Medical Plaza Driveway Suite 465, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154826204
Provider Enumeration Date: 03/29/2018
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7416205455
Enrollment ID: I20230616000449

Medical Identifiers

Medical identifiers for Dr Spyros Michael Siscos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154826204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A177736 (California)	Secondary
207R00000X	Internal Medicine	9409573 (Kansas)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	A177736 (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. Dr Spyros Michael Siscos allows following entities to bill medicare on his behalf.

Entity Name	University Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669456257 PECOS PAC ID: 1153235825 Enrollment ID: O20031117000701

Entity Name	Excelsior Springs City Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285733923 PECOS PAC ID: 7315847209 Enrollment ID: O20040108000958

Entity Name	Advanced Dermatologic Surgery Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003016312 PECOS PAC ID: 1153393194 Enrollment ID: O20220708001939

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 Spyros Michael Siscos 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 Spyros Michael Siscos, MD 1868 Kelton Ave Apt 202, Los Angeles, CA 90025-6759 Ph: (913) 744-9472	Dr Spyros Michael Siscos, MD 200 Medical Plaza Driveway Suite 465, Los Angeles, CA 90095-0001 Ph: (913) 744-9472

Reviews and Comments

Dermatology Doctors in Los Angeles, CA

Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514
Marie-josee Thibault, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045 Phone: 310-301-8708 Fax: 310-301-8751
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420
Dr. Eric Joel Meinhardt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025 Phone: 310-275-1170 Fax: 310-275-1076

Dr Spyros Michael Siscos, MD - Medicare Dermatology in Los Angeles, CA