Dr Theodore Bush Iv, is a
Case Manager/care Coordinator based in New Orleans, Louisiana. Dr Theodore Bush Iv is licensed to practice in * (Not Available) (license number ) and his current practice location is
209 N Broad St Ste A, New Orleans, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 577-1154.
NPI number for Dr Theodore Bush Iv is 1396116562 and his current mailing address is 209 N Broad St Ste A, New Orleans, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396116562.
Healthcare Provider's Profile
| Full Name | Dr Theodore Bush Iv |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 209 N Broad St Ste A, New Orleans, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396116562
- Provider Enumeration Date: 10/14/2015
- Last Update Date: 06/01/2018
Medical Identifiers
Medical identifiers for Dr Theodore Bush Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396116562 | NPI | - | NPPES |
| 600723292 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP1600X | Counselor - Pastoral | 101YP1600X (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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 Theodore Bush Iv is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Theodore Bush Iv, 209 N Broad St Ste A, New Orleans, LA 70119-5507 Ph: (504) 577-1154 | Dr Theodore Bush Iv, 209 N Broad St Ste A, New Orleans, LA 70119 Ph: (504) 577-1154 |
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