Dr Anthony C Theodoris, MD in Port Jefferson Station, NY

Dr Anthony C Theodoris, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Port Jefferson Station, New York. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Long Island Pulmonary Rehabilitation Pc, Stony Brook Internists University Faculty Practice Corporation and his current practice location is 1500 Route 112 Ste B, Port Jefferson Station, New York. You can reach out to his office (for appointments etc.) via phone at (631) 978-7633.

Dr Anthony C Theodoris is licensed to practice in New York (license number 221756-1) 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 1578675971.

Contact Information

	Dr Anthony C Theodoris, MD
	1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054
	(631) 978-7633
	(631) 638-4884

Map and Direction

Physician's Profile

Full Name	Dr Anthony C Theodoris
Gender	Male
Speciality	Pulmonary Disease
Experience	27 Years
Location	1500 Route 112 Ste B, Port Jefferson Station, New York
Accepts Medicare Assignments	Yes. 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 Anthony C Theodoris graduated from medical school in 1998

NPI Data:

NPI Number: 1578675971
Provider Enumeration Date: 08/31/2006
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3375525934
Enrollment ID: I20040607000454

Medical Identifiers

Medical identifiers for Dr Anthony C Theodoris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578675971	NPI	-	NPPES
7V691EC831	Other	NY	MEDICARE OTHER PIN
02732167	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	221756-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Hospital	Port jefferson, NY	Hospital
John T Mather Memorial Hospital Of Port Jefferson	Port jefferson, NY	Hospital
Suny/stony Brook University Hospital	Stony brook, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Long Island Pulmonary Rehabilitation Pc	0941569529	2
Stony Brook Internists University Faculty Practice Corporation	9133019821	383

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 Anthony C Theodoris allows following entities to bill medicare on his behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450

Entity Name	Long Island Pulmonary Rehabilitation Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699284281 PECOS PAC ID: 0941569529 Enrollment ID: O20180108001090

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 Anthony C Theodoris 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 Anthony C Theodoris, MD 45 Research Way Ste 208a, East Setauket, NY 11733-6401 Ph: (631) 675-2125	Dr Anthony C Theodoris, MD 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054 Ph: (631) 978-7633

Reviews and Comments

Internal Medicine Doctors in Port Jefferson Station, NY

Dr. Michael W Mendelson, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694
Matias M Dcosta, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636
Kinjal Amit Gosalia, STUDENT Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506
Zarlasht Khan, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840
Anil Sangwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427
Anish Desai, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119
Peter Ottavio, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4115

Dr Anthony C Theodoris, MD - Medicare Pulmonary Disease in Port Jefferson Station, NY