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Paul J. Pockros

Internal Medicine

Allopathic & Osteopathic Physicians

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

PECOS Enrollment

This provider is enrolled in PECOS as PAUL POCKROS.

Based on the most recent information from CMS, provider Paul J. Pockros is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1124082748
Provider Type
Individual
Full Name
Pockros, Paul J.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/12/2006
Last Updated
6/29/2009

Contact Information

Practice Location

10666 N Torrey Pines Rd, La Jolla, CA 92037-1027

(858) 554-8880

Unlisted Fax

Mailing Location

File# 54433, Los Angeles, CA 90074-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License G39713 California

Provider Identifiers

ID	Description	Issuer
ID F228	Description Other	Issuer CHAMPUS
ID 00G397130	Description Medicaid	Issuer Unlisted California
ID 100004079	Description Other	Issuer RAILROAD MEDICARE

Paul J. Pockros

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Carethers, John M.

Frank E. Mayer, M.D., A Professional Corporation

Mayer, Frank Edward

Skinner, Matthew James

Dziegielewski, Claudia Brittney

Coyle, Walter J

Tsai, Franklin

Mansour, Ahmad Masood

Kwong, Wilson T

Paredez, Edward C