John Ikonomidis, MD | |
171 Ashley Ave, Charleston, SC 29425-0001 | |
(843) 792-1414 | |
Not Available |
Full Name | John Ikonomidis |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 35 Years |
Location | 171 Ashley Ave, Charleston, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578678595 | NPI | - | NPPES |
T61304 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 22034 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of North Carolina Hospital | Chapel hill, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Unc Physicians And Associates | 0648181156 | 1736 |
Entity Name | University Of North Carolina At Chapel Hill |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359 |
Mailing Address | Practice Location Address |
---|---|
John Ikonomidis, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | John Ikonomidis, MD 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414 |
Kyler Perry, DO Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2300 | |
Dr. Swathi Venattu, MD Surgery Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Erika Andrade, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-513-9773 | |
Dr. Antwana Sharee Wright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Jacob Arthur Klapper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Norman Robert Harvey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-2123 | |
Hyejin Kwon, MD Surgery Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3072 |