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DR. GREGORY SPENCER MYNKO M.D.
NPI 1225046568
General Practice in Lake Elsinore, CA

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
32475 OAK KNOLL LN, LAKE ELSINORE, CA 92530(951) 609-5028(951) 678-4287 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Gregory Spencer Mynko M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY SPENCER MYNKO M.D. (NPI 1225046568) is an individual general practice provider in Lake Elsinore, California, licensed in California (G74144) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (1990).

NPPES Registry Identity

NPI1225046568
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GREGORY SPENCER MYNKOCredential: M.D.
Location Address32475 OAK KNOLL LNLake Elsinore, CA 92530-8324
Mailing Address32475 Oak Knoll LnLake Elsinore, CA 92530-8324 · (951) 609-5028 · Fax (951) 678-4287
Phone(951) 609-5028
Fax(951) 678-4287
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1990
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1225046568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G74144
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License G 74144 (CA)
32475 OAK KNOLL LN, Lake Elsinore, CA 92530
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Other Identifiers 1

OtherG 74144CA · Ca State Medical License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Spencer Mynko M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729075064
PECOS Enrollment IDI20040428000768
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Mynko's NPI number?

The NPI number for Gregory Mynko is 1225046568. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Gregory Mynko located?

Gregory Mynko practices at 32475 Oak Knoll Ln, Lake Elsinore, CA 92530. The listed phone number is (951) 609-5028.

What is Gregory Mynko's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gregory Mynko enrolled in Medicare?

Yes. Gregory Mynko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gregory Mynko was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.