Alexander Kokolus, CRNP is a medicare enrolled "Nurse Practitioner" in Bowmanstown, Pennsylvania. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Luke's Physician Group Inc and his current practice location is
512 Bank St, Bowmanstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 526-2400.
Alexander Kokolus is licensed to practice in Pennsylvania (license number SP022696) 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 1558037408.
Provider's Profile
| Full Name | Alexander Kokolus |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 512 Bank St, Bowmanstown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander Kokolus graduated from nursing school in 2020
NPI Data:
- NPI Number: 1558037408
- Provider Enumeration Date: 08/20/2021
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 2264830546
- Enrollment ID: I20211018002818
Medical Identifiers
Medical identifiers for Alexander Kokolus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558037408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP022696 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Luke's Physician Group Inc | 6709798333 | 1727 |
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. Alexander Kokolus allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062 |
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| Entity Name | Penn Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073572715
PECOS PAC ID: 0446246011
Enrollment ID: O20040421000664 |
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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. Alexander Kokolus 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 Address | Practice Location Address |
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Alexander Kokolus, CRNP
801 Ostrum St,
Bethlehem, PA 18015-1000
Ph: (484) 526-4000 | Alexander Kokolus, CRNP
512 Bank St,
Bowmanstown, PA 18030-0010
Ph: (484) 526-2400 |
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