Dr Jerome O List, DDS, MD is a medicare enrolled "Otolaryngology" physician in Eagle River, Alaska. His current practice location is
12641 Old Glenn Hwy Ste 201, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 561-1421.
Dr Jerome O List is licensed to practice in Alaska (license number 2607) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093776080.
Physician's Profile
| Full Name | Dr Jerome O List |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 12641 Old Glenn Hwy Ste 201, Eagle River, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerome O List attended and graduated from in
NPI Data:
- NPI Number: 1093776080
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jerome O List such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093776080 | NPI | - | NPPES |
| MD1123 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 329599 (New York) | Secondary |
| 207Y00000X | Otolaryngology | 2607 (Alaska) | Primary |
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 Jerome O List 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 Jerome O List, DDS, MD
3831 Piper St Ste S433,
Anchorage, AK 99508-6900
Ph: (907) 561-1421 | Dr Jerome O List, DDS, MD
12641 Old Glenn Hwy Ste 201,
Eagle River, AK 99577-7040
Ph: (907) 561-1421 |
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