Ihor Salo, MD is a medicare enrolled "Hospitalist" physician in Hoboken, New Jersey. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Hospice/palliative Care. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
308 Willow Ave, Hoboken, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(646) 402-4496.
Ihor Salo is licensed to practice in New Jersey (license number 25MA08841700) 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 1912132408.
Physician's Profile
| Full Name | Ihor Salo |
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| Gender | Male |
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| Speciality | Hospice/palliative Care |
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| Experience | 22 Years |
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| Location | 308 Willow Ave, Hoboken, New Jersey |
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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:
- Ihor Salo graduated from medical school in 2003
NPI Data:
- NPI Number: 1912132408
- Provider Enumeration Date: 05/27/2009
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597952390
- Enrollment ID: I20120203000752
Medical Identifiers
Medical identifiers for Ihor Salo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912132408 | NPI | - | NPPES |
| 0249122 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 254316 (New York) | Secondary |
| 208M00000X | Hospitalist | 25MA08841700 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Ihor Salo allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Ihor Salo 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 |
|---|
Ihor Salo, MD
1100 Grand St Apt 302,
Hoboken, NJ 07030-2235
Ph: (646) 402-4496 | Ihor Salo, MD
308 Willow Ave,
Hoboken, NJ 07030-3808
Ph: (646) 402-4496 |
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