Dr Theodore Richard Van Dam, MD in San Clemente, CA

Dr Theodore Richard Van Dam, MD is a medicare enrolled "Internal Medicine" physician in San Clemente, California. His current practice location is 665 Camino De Los Mares, 210, San Clemente, California. You can reach out to his office (for appointments etc.) via phone at (949) 240-6772.

Dr Theodore Richard Van Dam is licensed to practice in California (license number A24788) 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 1871527226.

Contact Information

	Dr Theodore Richard Van Dam, MD
	665 Camino De Los Mares, 210, San Clemente, CA 92673
	(949) 240-6772
	(949) 240-6841

Map and Direction

Physician's Profile

Full Name	Dr Theodore Richard Van Dam
Gender	Male
Speciality	Internal Medicine
Location	665 Camino De Los Mares, San Clemente, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871527226
Provider Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8628103504
Enrollment ID: I20100317000439

Medical Identifiers

Medical identifiers for Dr Theodore Richard Van Dam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871527226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A24788 (California)	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 Richard Van Dam 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 Richard Van Dam, MD 665 Camino De Los Mares, 210, San Clemente, CA 92673 Ph: (949) 240-6772	Dr Theodore Richard Van Dam, MD 665 Camino De Los Mares, 210, San Clemente, CA 92673 Ph: (949) 240-6772

Reviews and Comments

Internal Medicine Doctors in San Clemente, CA

Kenneth Lloyd Rexinger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Via Suerte, Suite 102, San Clemente, CA 92673 Phone: 949-364-5600 Fax: 949-364-2231
Dr. Gabriel Carabulea, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Camino De Los Mares, Ste 208, San Clemente, CA 92673 Phone: 714-466-0787 Fax: 714-417-9821
Dr. Darshana Rajesh Kadakia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 S El Camino Real, Suite A, San Clemente, CA 92672 Phone: 949-492-4994 Fax: 949-492-8517
Dr. Navjyot Gujral, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 655 Camino De Los Mares, 123, San Clemente, CA 92673 Phone: 949-443-1546 Fax: 949-443-1077
Dr. Cary C Stewart, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 Avenida Pico, Suite C, San Clemente, CA 92673 Phone: 949-542-6154 Fax: 949-542-7154
Nick J Karahalios, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Camino De Los Mares Ste 309, San Clemente, CA 92673 Phone: 949-487-9034 Fax: 949-493-3721
Faramarz Payandeh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Camino De Los Mares, #210, San Clemente, CA 92673 Phone: 714-665-1600

Dr Theodore Richard Van Dam, MD - Medicare Internal Medicine in San Clemente, CA