Stan Ekume Mokoko, PA - Medicare Family Medicine in San Jacinto, CA

Stan Ekume Mokoko, PA is a medicare enrolled "Family Medicine" physician in San Jacinto, California. His current practice location is 1695 S San Jacinto Ave Ste A, San Jacinto, California. You can reach out to his office (for appointments etc.) via phone at (951) 330-3100.

Stan Ekume Mokoko is licensed to practice in Georgia (license number 102105) 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 1336994110.

Contact Information

Stan Ekume Mokoko, PA
1695 S San Jacinto Ave Ste A,
San Jacinto, CA 92583-5103
(951) 330-3100
Not Available

Map and Direction




Physician's Profile

Full NameStan Ekume Mokoko
GenderMale
SpecialityFamily Medicine
Location1695 S San Jacinto Ave Ste A, San Jacinto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336994110
  • Provider Enumeration Date: 04/23/2024
  • Last Update Date: 12/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789123902
  • Enrollment ID: I20240830002619

Medical Identifiers

Medical identifiers for Stan Ekume Mokoko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336994110NPI-NPPES
10004OtherCATEMP MSP PA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 102105 (Georgia)Primary
363A00000XPhysician Assistant 10004 (California)Secondary
363A00000XPhysician Assistant 1983 (Puerto Rico)Secondary

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. Stan Ekume Mokoko 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
Stan Ekume Mokoko, PA
36056 Darcy Pl,
Murrieta, CA 92562-4563

Ph: (912) 272-4640
Stan Ekume Mokoko, PA
1695 S San Jacinto Ave Ste A,
San Jacinto, CA 92583-5103

Ph: (951) 330-3100

Reviews and Comments


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Phone: 951-292-5741    

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.