| John Ikonomidis, MD | |
|
221 W. Colorado Blvd., Pavilion Ii Suite 728, Dallas, TX 75208 | |
| (469) 695-2055 | |
| (469) 695-2056 |
| Full Name | John Ikonomidis |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 36 Years |
| Location | 221 W. Colorado Blvd., Dallas, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578678595 | NPI | - | NPPES |
| T61304 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | W0185 (Texas) | Primary |
| 208600000X | Surgery | 22034 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of North Carolina Hospital | Chapel hill, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of North Carolina At Chapel Hill | 0648181156 | 1826 |
| Entity Name | University Of North Carolina At Chapel Hill |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
| Mailing Address | Practice Location Address |
|---|---|
| John Ikonomidis, MD 221 W. Colorado Blvd., Pavilion Ii Suite 728, Dallas, TX 75208 Ph: (469) 695-2055 | John Ikonomidis, MD 221 W. Colorado Blvd., Pavilion Ii Suite 728, Dallas, TX 75208 Ph: (469) 695-2055 |
John L Jay, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd, Suite 825, Dallas, TX 75208 Phone: 214-942-5222 Fax: 214-942-9366 | |
Matthias Peltz, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-7760 Fax: 214-645-7701 | |
Dr. David Park Mason, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1222 N Bishop Ave Ste 300, Dallas, TX 75208 Phone: 214-941-1353 Fax: 214-941-1047 | |
Dan Marshall Meyer, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1222 N Bishop Ave Ste 300, Dallas, TX 75208 Phone: 214-941-1353 Fax: 214-941-1047 | |
Lynn C. Huffman, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-7700 Fax: 214-645-7701 | |
Aaron Solante Estrera, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-7700 Fax: 214-645-9708 | |
Dr. Michael O Mcbride, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Suite A307, Dallas, TX 75230 Phone: 972-566-4866 Fax: 972-566-2469 |