Efthimios Alexander Bakalakos, MD is a medicare enrolled "Surgery" physician in Canby, Minnesota. His current practice location is
112 Saint Olaf Ave S, Canby, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 223-7277.
Efthimios Alexander Bakalakos is licensed to practice in Minnesota (license number 41801) 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 1407868706.
Physician's Profile
| Full Name | Efthimios Alexander Bakalakos |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 112 Saint Olaf Ave S, Canby, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407868706
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163583162
- Enrollment ID: I20081209000798
Medical Identifiers
Medical identifiers for Efthimios Alexander Bakalakos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407868706 | NPI | - | NPPES |
| 258716500 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 41801 (Minnesota) | 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. Efthimios Alexander Bakalakos allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013921733 PECOS PAC ID: 6800707100 Enrollment ID: O20031111000266 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1851305296 PECOS PAC ID: 6800707100 Enrollment ID: O20070726000118 |
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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. Efthimios Alexander Bakalakos 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 |
Efthimios Alexander Bakalakos, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Efthimios Alexander Bakalakos, MD 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277 |
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