Tom Maxim, in Thousand Oaks, CA - Medicare Otolaryngology

Tom Maxim, is a medicare enrolled "Otolaryngology" physician in Thousand Oaks, California. His current practice location is 100 Moody Ct Ste 200, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (805) 418-3500.

Tom Maxim is licensed to practice in California (license number A181999) 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 1801356464.

Contact Information

	Tom Maxim,
	100 Moody Ct Ste 200, Thousand Oaks, CA 91360-6082
	(805) 418-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Tom Maxim
Gender	Male
Speciality	Otolaryngology
Location	100 Moody Ct Ste 200, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801356464
Provider Enumeration Date: 03/20/2019
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 6002234051
Enrollment ID: I20240613002054

Medical Identifiers

Medical identifiers for Tom Maxim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801356464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A181999 (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. Tom Maxim allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935251 PECOS PAC ID: 6406749308 Enrollment ID: O20040204000971

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. Tom Maxim 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
Tom Maxim, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Tom Maxim, 100 Moody Ct Ste 200, Thousand Oaks, CA 91360-6082 Ph: (805) 418-3500

Reviews and Comments

Otolaryngology Doctors in Thousand Oaks, CA

Dr. Gary Scott Voorman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611
Dr. Jeffrey Tseng, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2220 Lynn Rd, Suite 109, Thousand Oaks, CA 91360 Phone: 805-496-8103 Fax: 805-496-9661
Dr. Kelvin Loh, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611
Dr. Jaesung Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611
Dr. Natalie Erin Kadin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 100 Moody Ct, Suite 200, Thousand Oaks, CA 91360 Phone: 805-418-3500 Fax: 805-418-3505
Dr. Abhay Makarand Vaidya, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-9646 Fax: 805-379-0611

Tom Maxim, - Medicare Otolaryngology in Thousand Oaks, CA