Dr Seth Tebockhorst, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Boulder, Colorado. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is
1601 29th St. Suite 1292, #1255, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 900-8946.
Dr Seth Tebockhorst is licensed to practice in Colorado (license number CDRH.0054213) 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 1639312192.
Physician's Profile
| Full Name | Dr Seth Tebockhorst |
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| Gender | Male |
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| Speciality | Hand Surgery |
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| Experience | 17 Years |
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| Location | 1601 29th St. Suite 1292, Boulder, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Seth Tebockhorst graduated from medical school in 2009
NPI Data:
- NPI Number: 1639312192
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4688816507
- Enrollment ID: I20241105000936
Medical Identifiers
Medical identifiers for Dr Seth Tebockhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639312192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 21498 (North Dakota) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | CDRH.0054213 (Colorado) | Secondary |
| 208200000X | Plastic Surgery | CDRH.0054213 (Colorado) | Secondary |
| 2086S0105X | Surgery - Surgery Of The Hand | CDRH.0054213 (Colorado) | Secondary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | CDRH.0054213 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
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 Seth Tebockhorst allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110331000495 |
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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 Seth Tebockhorst 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 |
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Dr Seth Tebockhorst, MD
1601 29th St. Suite 1292, #1255,
Boulder, CO 80301-1010
Ph: (303) 900-8946 | Dr Seth Tebockhorst, MD
1601 29th St. Suite 1292, #1255,
Boulder, CO 80301-1010
Ph: (303) 900-8946 |
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