Dr Theodore James Colterelli Iii, DO is a medicare enrolled "General Practice" physician in Plymouth Meeting, Pennsylvania. His current practice location is
2901 Jolly Rd, Plymouth Meeting, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 272-8221.
Dr Theodore James Colterelli Iii is licensed to practice in Pennsylvania (license number OS014368) 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 1609077106.
Physician's Profile
| Full Name | Dr Theodore James Colterelli Iii |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 2901 Jolly Rd, Plymouth Meeting, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609077106
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749587830
- Enrollment ID: I20220517001951
Medical Identifiers
Medical identifiers for Dr Theodore James Colterelli Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609077106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | OS014368 (Pennsylvania) | 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 Theodore James Colterelli Iii allows following entities to bill medicare on his behalf.
| Entity Name | Hospitalist Medicine Physicians Of Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639464308 PECOS PAC ID: 9234309840 Enrollment ID: O20110908001888 |
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| Entity Name | Eaglebell Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184319451 PECOS PAC ID: 3173981677 Enrollment ID: O20230615000173 |
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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 Theodore James Colterelli Iii 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 James Colterelli Iii, DO 2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 Ph: (610) 272-8221 | Dr Theodore James Colterelli Iii, DO 2901 Jolly Rd, Plymouth Meeting, PA 19462-2324 Ph: (610) 272-8221 |
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