Dr Tom Theodore Karnezis, MD - Medicare Otolaryngology in Baldwin Park, CA

Dr Tom Theodore Karnezis, MD is a medicare enrolled "Otolaryngology" physician in Baldwin Park, California. He went to Columbia University College Of Physicians And Surgeons and graduated in 2008 and has 16 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 1011 Baldwin Park Blvd, Head And Neck Surgery, Baldwin Park, California. You can reach out to his office (for appointments etc.) via phone at (626) 851-6100.

Dr Tom Theodore Karnezis is licensed to practice in California (license number NONE) 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 1023272275.

Contact Information

Dr Tom Theodore Karnezis, MD
1011 Baldwin Park Blvd, Head And Neck Surgery,
Baldwin Park, CA 91706-5806
(626) 851-6100
Not Available

Map and Direction




Physician's Profile

Full NameDr Tom Theodore Karnezis
GenderMale
SpecialityOtolaryngology
Experience16 Years
Location1011 Baldwin Park Blvd, Baldwin Park, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tom Theodore Karnezis attended and graduated from Columbia University College Of Physicians And Surgeons in 2008
  NPI Data:
  • NPI Number: 1023272275
  • Provider Enumeration Date: 07/17/2008
  • Last Update Date: 12/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244458388
  • Enrollment ID: I20151119002115

Medical Identifiers

Medical identifiers for Dr Tom Theodore Karnezis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023272275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology TL36720 (South Carolina)Secondary
207Y00000XOtolaryngology NONE (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

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. Dr Tom Theodore Karnezis allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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 Tom Theodore Karnezis 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 AddressPractice Location Address
Dr Tom Theodore Karnezis, MD
1011 Baldwin Park Blvd, Head And Neck Surgery,
Baldwin Park, CA 91706-5806

Ph: (626) 851-6100
Dr Tom Theodore Karnezis, MD
1011 Baldwin Park Blvd, Head And Neck Surgery,
Baldwin Park, CA 91706-5806

Ph: (626) 851-6100

Reviews and Comments


Otolaryngology Doctors in Baldwin Park, CA

Paula Rodgers, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-1011    
Harold Chow, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-1011    
Ju Yun Kim, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-1011    
Dr. Michael Z Chen, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-1011    
Wesley S. Low, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-1011    
Dr. Jennifer Lee Tran, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706
Phone: 626-851-6790    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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