Louis Spikol, MD - Medicare Family Medicine in Whitehall, PA

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Louis Spikol, MD is a medicare enrolled "Family Medicine" physician in Whitehall, Pennsylvania. His current practice location is 5505 Macarthur Rd, Whitehall, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 262-2706.

Louis Spikol is licensed to practice in Pennsylvania (license number MD033866E) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508895186.

Contact Information

Louis Spikol, MD
5505 Macarthur Rd,
Whitehall, PA 18052-1605
(610) 262-2706
Not Available

Map and Direction




Physician's Profile

Full NameLouis Spikol
GenderMale
SpecialityFamily Medicine
Location5505 Macarthur Rd, Whitehall, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508895186
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 04/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7416141858
  • Enrollment ID: I20101029001237

Medical Identifiers

Medical identifiers for Louis Spikol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508895186NPI-NPPES
MD033866EOtherPAPA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD033866E (Pennsylvania)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. Louis Spikol allows following entities to bill medicare on his behalf.
Entity NameDlp Conemaugh Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932515905
PECOS PAC ID: 7315166949
Enrollment ID: O20140915002522
Entity NameGrand View Urgent Care, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801341862
PECOS PAC ID: 8820370661
Enrollment ID: O20170131001070

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. Louis Spikol 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
Louis Spikol, MD
4028 Lois Ln,
Allentown, PA 18104-9697

Ph: (610) 573-9790		Louis Spikol, MD
5505 Macarthur Rd,
Whitehall, PA 18052-1605

Ph: (610) 262-2706

Reviews and Comments


Family Medicine Doctors in Whitehall, PA

Mary Ellen Williams, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3691 Crescent Ct E Ste 201, Whitehall, PA 18052
Phone: 610-434-9561    
Dr. Narien K Grover, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1401 Fairmont St, Whitehall, PA 18052
Phone: 610-432-4122    Fax: 610-432-6677
Patricia A. Deangelis, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3691 Crescent Ct E, Whitehall, PA 18052
Phone: 610-434-9561    
Jennifer Laura Stockhausen, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3691 Crescent Ct E, Whitehall, PA 18052
Phone: 610-434-9561    Fax: 610-434-5122
Winona T Shively, CRNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3321 Chestnut St, Whitehall, PA 18052
Phone: 610-262-7123    
Sohaib Mannan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2000 Eberhart Rd, Whitehall, PA 18052
Phone: 610-904-8100    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.