Dr Marissa Christina Theofanides, MD in West Nyack, NY

Dr Marissa Christina Theofanides, MD is a medicare enrolled "Urology" physician in West Nyack, New York. She went to Js Weill Medical College, Cornell University and graduated in 2008 and has 18 years of diverse experience with area of expertise as Urology. She is a member of the group practice Montefiore Medical Center and her current practice location is 2 Centerock Rd, West Nyack, New York. You can reach out to her office (for appointments etc.) via phone at (845) 703-6999.

Dr Marissa Christina Theofanides is licensed to practice in New York (license number 290620) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1306119920.

Contact Information

	Dr Marissa Christina Theofanides, MD
	2 Centerock Rd, West Nyack, NY 10994-2215
	(845) 703-6999
	(845) 703-6297

Map and Direction

Physician's Profile

Full Name	Dr Marissa Christina Theofanides
Gender	Female
Speciality	Urology
Experience	18 Years
Location	2 Centerock Rd, West Nyack, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Marissa Christina Theofanides attended and graduated from Js Weill Medical College, Cornell University in 2008

NPI Data:

NPI Number: 1306119920
Provider Enumeration Date: 02/13/2012
Last Update Date: 10/16/2020

Medicare PECOS Information:

PECOS PAC ID: 6800142159
Enrollment ID: I20180629000310

Medical Identifiers

Medical identifiers for Dr Marissa Christina Theofanides such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306119920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	290620 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Montefiore Medical Center	Bronx, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Montefiore Medical Center	3779496021	2350

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 Marissa Christina Theofanides allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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 Marissa Christina Theofanides 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 Marissa Christina Theofanides, MD 155 Crystal Run Rd, Middletown, NY 10941-4057 Ph: (845) 703-6999	Dr Marissa Christina Theofanides, MD 2 Centerock Rd, West Nyack, NY 10994-2215 Ph: (845) 703-6999

Reviews and Comments

Urology Doctors in West Nyack, NY

Mr. Alexander M. Schwartz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Centerock Rd, West Nyack, NY 10994 Phone: 845-703-6999 Fax: 845-703-6297
Dr. Ross Bauer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, Suite 10, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469
Mitchell Fraiman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469
Kathleen Latino, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 854-354-5000 Fax: 845-354-9469
Richard Evans, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 845-354-9469
Richard Kroll, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Medical Park Dr, West Nyack, NY 10994 Phone: 845-354-5000 Fax: 854-354-9469

Dr Marissa Christina Theofanides, MD - Medicare Urology in West Nyack, NY