Dr Theodore Dungan Mandelkorn, MD in Mercer Island, WA

Dr Theodore Dungan Mandelkorn, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Mercer Island, Washington. His current practice location is 2553 76th Ave Se, Mercer Island, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 275-0702.

Dr Theodore Dungan Mandelkorn is licensed to practice in Washington (license number MD00010762) 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 1922167220.

Contact Information

	Dr Theodore Dungan Mandelkorn, MD
	2553 76th Ave Se, Mercer Island, WA 98040-2758
	(206) 275-0702
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Theodore Dungan Mandelkorn
Gender	Male
Speciality	Pediatrics - Developmental - Behavioral Pediatrics
Location	2553 76th Ave Se, Mercer Island, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922167220
Provider Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163716812
Enrollment ID: I20160803002544

Medical Identifiers

Medical identifiers for Dr Theodore Dungan Mandelkorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922167220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	MD00010762 (Washington)	Primary

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 Theodore Dungan Mandelkorn 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 Theodore Dungan Mandelkorn, MD 2553 76th Ave Se, Mercer Island, WA 98040-2758 Ph: (206) 275-0702	Dr Theodore Dungan Mandelkorn, MD 2553 76th Ave Se, Mercer Island, WA 98040-2758 Ph: (206) 275-0702

Reviews and Comments

Pediatrics Doctors in Mercer Island, WA

Dr. Hal Cooper Quinn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2553 76th Ave Se, Mercer Island, WA 98040 Phone: 206-275-2122
Tumaini Rucker Coker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9107 Se 78th Pl, Mercer Island, WA 98040 Phone: 310-663-6721 Fax: 310-663-6721
Dr. Julie Ellner, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 9675 Se 36th St Ste 100, Mercer Island, WA 98040 Phone: 206-275-2122 Fax: 206-275-0860
Frances Gmur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8841 Se 37th St, Mercer Island, WA 98040 Phone: 206-230-5874
Lisa Ilana Glasser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7683 Se 27th St, #310, Mercer Island, WA 98040 Phone: 206-941-9306
Dr. Danette Swanson Glassy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2553 76th Ave Se, Mercer Island, WA 98040 Phone: 206-275-2122 Fax: 206-275-0860
Christopher A Kodama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8211 Se 36th St, Mercer Island, WA 98040 Phone: 206-240-3741

Dr Theodore Dungan Mandelkorn, MD - Medicare Pediatrics in Mercer Island, WA