Mboutidem Etokakpan, MD - Medicare General Surgery in Hazle Township, PA

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Mboutidem Etokakpan, MD is a medicare enrolled "Surgery" physician in Hazle Township, Pennsylvania. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Hazleton Professional Services and his current practice location is 50 Moisey Dr, Hazle Township, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 501-6900.

Mboutidem Etokakpan is licensed to practice in Pennsylvania (license number MD469829) 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 1467851634.

Contact Information

Mboutidem Etokakpan, MD
50 Moisey Dr,
Hazle Township, PA 18202-9297
(570) 501-6900
(570) 501-6945

Map and Direction




Physician's Profile

Full NameMboutidem Etokakpan
GenderMale
SpecialityGeneral Surgery
Experience10 Years
Location50 Moisey Dr, Hazle Township, Pennsylvania
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:
  • Mboutidem Etokakpan graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1467851634
  • Provider Enumeration Date: 08/14/2014
  • Last Update Date: 07/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284937442
  • Enrollment ID: I20220813000831

Medical Identifiers

Medical identifiers for Mboutidem Etokakpan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467851634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35.138339 (Ohio)Secondary
208600000XSurgery MD469829 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lehigh Valley Hospital - HazletonHazleton, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hazleton Professional Services8022110402135

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. Mboutidem Etokakpan allows following entities to bill medicare on his behalf.
Entity NameHazleton Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952464638
PECOS PAC ID: 8022110402
Enrollment ID: O20070305000195

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. Mboutidem Etokakpan 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
Mboutidem Etokakpan, MD
2100 Mack Blvd Fl 4,
Allentown, PA 18103-5622

Ph: (570) 501-6368		Mboutidem Etokakpan, MD
50 Moisey Dr,
Hazle Township, PA 18202-9297

Ph: (570) 501-6900

Reviews and Comments


Surgery Doctors in Hazle Township, PA

Dr. Jonathan G Perry, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 50 Moisey Dr Ste 214, Hazle Township, PA 18202
Phone: 570-501-6900    Fax: 570-501-6945
Dr. Anthony Michael Carrato, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 50 Moisey Dr Ste 214, Hazle Township, PA 18202
Phone: 570-501-6900    Fax: 570-501-6945
Dr. Michael James Mahoney, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 50 Moisey Dr Ste 214, Hazle Township, PA 18202
Phone: 570-501-6900    Fax: 570-501-6945

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.