Dr Boby G Theckedath, MD in Mount Pleasant, WI

Dr Boby G Theckedath, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Mount Pleasant, Wisconsin. His current practice location is 8400 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 884-4000.

Dr Boby G Theckedath is licensed to practice in Wisconsin (license number 55991) 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 1194788315.

Contact Information

	Dr Boby G Theckedath, MD
	8400 Washington Ave, Mount Pleasant, WI 53406-3735
	(262) 884-4000
	(262) 884-4177

Map and Direction

Physician's Profile

Full Name	Dr Boby G Theckedath
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	8400 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194788315
Provider Enumeration Date: 04/10/2006
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9234183369
Enrollment ID: I20221209001652

Medical Identifiers

Medical identifiers for Dr Boby G Theckedath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194788315	NPI	-	NPPES
100216167	Medicaid	WI
64096845	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	38387 (Kentucky)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	55991 (Wisconsin)	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 Boby G Theckedath allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Boby G Theckedath 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 Boby G Theckedath, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 884-4000	Dr Boby G Theckedath, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4000

Reviews and Comments

Internal Medicine Doctors in Mount Pleasant, WI

Michael Mullane, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-8340
Carlos R Galvao-sobrinho, MD, PHD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St Ste 260, Mount Pleasant, WI 53405 Phone: 262-687-8340 Fax: 262-687-8365
Dr. Ubaid Nawaz, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave Ste 203, Mount Pleasant, WI 53406 Phone: 262-884-8340
Vrushin Patel, DO Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 6611 Spring St, Mount Pleasant, WI 53406 Phone: 262-504-3100
Moustafa Mohamed A Elziny, MBBCH Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 Fax: 262-687-4280
Diana L Turner, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 Fax: 262-687-4280
Alexandra Beris, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011

Dr Boby G Theckedath, MD - Medicare Internal Medicine in Mount Pleasant, WI