Stavroula Ikonomakou-nikolaidis, MD | |
2401 S 31st St, Temple, TX 76508-4105 | |
(254) 724-2111 | |
Not Available |
Full Name | Stavroula Ikonomakou-nikolaidis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 2401 S 31st St, Temple, Texas |
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 |
---|---|---|---|
1326037987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R2883 (Texas) | Primary |
207L00000X | Anesthesiology | MD057919L (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Stavroula Ikonomakou-nikolaidis, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Stavroula Ikonomakou-nikolaidis, MD 2401 S 31st St, Temple, TX 76508-4105 Ph: (254) 724-2111 |
Taylor Pohler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 832-928-0760 | |
Dr. Justin Michael Koenemann, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st., Temple, TX 76508 Phone: 254-724-2111 | |
Tyson Joseph Fillmore, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St # Ms 20d304, Temple, TX 76508 Phone: 254-724-5306 | |
David Michel Cousineau, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dair Chevalier, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Sarah Tariq, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 | |
Dr. Olen E. Kitchings Iii, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |