Dr Jerome O List, DDS, MD - Medicare Otolaryngology in Eagle River, AK

Dr Jerome O List, DDS, MD is a medicare enrolled "Otolaryngology" physician in Eagle River, Alaska. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ear Nose And Throat Specialists Alaska, Inc and his current practice location is 12641 Old Glenn Hwy Ste 201, Eagle River, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 561-1421.

Dr Jerome O List is licensed to practice in Alaska (license number 2607) 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 1093776080.

Contact Information

Dr Jerome O List, DDS, MD
12641 Old Glenn Hwy Ste 201,
Eagle River, AK 99577-7040
(907) 561-1421
(907) 561-0327



Physician's Profile

Full NameDr Jerome O List
GenderMale
SpecialityOtolaryngology
Experience55 Years
Location12641 Old Glenn Hwy Ste 201, Eagle River, Alaska
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:
  • Dr Jerome O List graduated from medical school in 1969
  NPI Data:
  • NPI Number: 1093776080
  • Provider Enumeration Date: 03/29/2006
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517950603
  • Enrollment ID: I20120315000825

Medical Identifiers

Medical identifiers for Dr Jerome O List such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093776080NPI-NPPES
MD1123MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2607 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alaska Regional HospitalAnchorage, AKHospital
Providence Alaska Medical CenterAnchorage, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear Nose And Throat Specialists Alaska, Inc620484829411

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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. Dr Jerome O List allows following entities to bill medicare on his behalf.
Entity NameEar Nose And Throat Specialists Alaska, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972552891
PECOS PAC ID: 6204848294
Enrollment ID: O20060609000194

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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. Dr Jerome O List 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
Dr Jerome O List, DDS, MD
3841 Piper St Ste S433,
Anchorage, AK 99508-4624

Ph: (907) 561-1421
Dr Jerome O List, DDS, MD
12641 Old Glenn Hwy Ste 201,
Eagle River, AK 99577-7040

Ph: (907) 561-1421

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Otolaryngology Doctors in Eagle River, AK


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