Alexandora Ekkens Siporin, in Ontario, CA

Alexandora Ekkens Siporin, is a medicare enrolled "Pediatrics" physician in Ontario, California. Her current practice location is 955 N Duesenberg Dr, #6322, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (505) 934-0860.

Alexandora Ekkens Siporin is licensed to practice in California (license number 20A11828) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285807990.

Contact Information

	Alexandora Ekkens Siporin,
	955 N Duesenberg Dr, #6322, Ontario, CA 91764-7913
	(505) 934-0860
	Not Available

Map and Direction

Physician's Profile

Full Name	Alexandora Ekkens Siporin
Gender	Female
Speciality	Pediatrics
Location	955 N Duesenberg Dr, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285807990
Provider Enumeration Date: 04/02/2008
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8224203138
Enrollment ID: I20111205000413

Medical Identifiers

Medical identifiers for Alexandora Ekkens Siporin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285807990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20A11828 (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. Alexandora Ekkens Siporin allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Alexandora Ekkens Siporin 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
Alexandora Ekkens Siporin, 955 N Duesenberg Dr, #6322, Ontario, CA 91764-7913 Ph: (505) 934-0860	Alexandora Ekkens Siporin, 955 N Duesenberg Dr, #6322, Ontario, CA 91764-7913 Ph: (505) 934-0860

Reviews and Comments

Pediatrics Doctors in Ontario, CA

Dr. Benjamin Maurice Kershberg, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 S Vineyard Ave, Mob A, Ontario, CA 91761 Phone: 909-724-2554 Fax: 909-724-2552
Dr. Jason Francis Lue, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 323-896-7893
Yolanda Quam, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1501a S Bon View Ave, Ontario, CA 91761 Phone: 909-673-9125 Fax: 909-673-1676
Rosario Retino, MD FACP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 W G Street, Ste 101, Ontario, CA 91762 Phone: 909-395-9788 Fax: 909-395-9788
Dianne Elizabeth Quintana, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2680 E Riverside Dr, Ontario, CA 91761 Phone: 909-469-9013 Fax: 909-469-9014
Dr. Elizabeth T Lai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1640 S Grove Ave, Suite C, Ontario, CA 91761 Phone: 909-477-8900 Fax: 909-277-7894

Alexandora Ekkens Siporin, - Medicare Pediatrics in Ontario, CA