Dr Theodore Joseph Jerdee, MD in Travis Afb, CA

Dr Theodore Joseph Jerdee, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7182.

Dr Theodore Joseph Jerdee is licensed to practice in California (license number C53747) 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 1104806397.

Contact Information

	Dr Theodore Joseph Jerdee, MD
	101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535-1809
	(707) 423-7182
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Theodore Joseph Jerdee
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104806397
Provider Enumeration Date: 01/23/2006
Last Update Date: 07/25/2014

Medicare PECOS Information:

PECOS PAC ID: 5698087302
Enrollment ID: I20180108001311

Medical Identifiers

Medical identifiers for Dr Theodore Joseph Jerdee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104806397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	C53747 (California)	Primary
208D00000X	General Practice	22461 (Oklahoma)	Secondary

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 Joseph Jerdee allows following entities to bill medicare on his behalf.

Entity Name	John Muir Trauma Physicians Billing Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452

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 Joseph Jerdee 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 Joseph Jerdee, MD 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535-1809 Ph: () -	Dr Theodore Joseph Jerdee, MD 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535-1809 Ph: (707) 423-7182

Reviews and Comments

Radiology Doctors in Travis Afb, CA

Dr. Teddy Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597
Dr. David Dean Gover, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7182

Dr Theodore Joseph Jerdee, MD - Medicare Radiology in Travis Afb, CA