Dr Keith Felix Theodore, DDS in Upper Marlboro, MD

Dr Keith Felix Theodore, DDS is a medicare enrolled "Dentist - General Practice" provider in Upper Marlboro, Maryland. His current practice location is 16729 Queen Anne Rd, Upper Marlboro, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 613-2430.

Dr Keith Felix Theodore is licensed to practice in Maryland (license number 7399) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902108897.

Contact Information

	Dr Keith Felix Theodore, DDS
	16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754
	(301) 613-2430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Felix Theodore
Gender	Male
Speciality	Dentist - General Practice
Location	16729 Queen Anne Rd, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902108897
Provider Enumeration Date: 11/26/2010
Last Update Date: 11/26/2010

Medicare PECOS Information:

PECOS PAC ID: 7618348723
Enrollment ID: I20230128000232

Medical Identifiers

Medical identifiers for Dr Keith Felix Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902108897	NPI	-	NPPES
1164519385	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7399 (Maryland)	Primary

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 Keith Felix Theodore allows following entities to bill medicare on his behalf.

Entity Name	Greater Baden Medical Service Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20051017000645

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 Keith Felix Theodore 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
Dr Keith Felix Theodore, DDS 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754 Ph: (301) 613-2430	Dr Keith Felix Theodore, DDS 16729 Queen Anne Rd, Upper Marlboro, MD 20774-8754 Ph: (301) 613-2430

Reviews and Comments

Dentist in Upper Marlboro, MD

Dr. Wayman J Brown, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Watkins Park Dr, Upper Marlboro, MD 20774 Phone: 301-249-4411 Fax: 301-218-1632
Mrs. Lucia O Ditch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10484 Campus Way S, Upper Marlboro, MD 20774 Phone: 301-350-0222
Crystal Curtis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 34 Watkins Park Dr, Upper Marlboro, MD 20774 Phone: 301-880-9498
Miss Kimberly Lapeyrolerie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10484 Campus Way S, Upper Marlboro, MD 20774 Phone: 301-350-0222
Dr. Lynnette Myrth Chinnery, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14420 Old Mill Rd Ste 101, Upper Marlboro, MD 20772 Phone: 301-627-6686 Fax: 301-627-5526
Dr. Sydney Benita Sowell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14420 Old Mill Rd Ste 101, Upper Marlboro, MD 20772 Phone: 301-627-6568 Fax: 301-627-5526
Ashish Rastogi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9682 Marlboro Pike, Upper Marlboro, MD 20772 Phone: 301-599-1010 Fax: 301-599-2856

Dr Keith Felix Theodore, DDS - Medicare Dentist in Upper Marlboro, MD