Dr Theodore Val Benderev, MD is a medicare enrolled "Urology" physician in Mission Viejo, California. His current practice location is
26800 Crown Valley Pkwy Ste 475, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at
(888) 827-3286.
Dr Theodore Val Benderev is licensed to practice in California (license number G43662) 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 1124045935.
Physician's Profile
Full Name | Dr Theodore Val Benderev |
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Gender | Male |
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Speciality | Urology |
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Location | 26800 Crown Valley Pkwy Ste 475, Mission Viejo, California |
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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: 1124045935
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 04/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921027491
- Enrollment ID: I20110104000041
Medical Identifiers
Medical identifiers for Dr Theodore Val Benderev such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124045935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | G43662 (California) | 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 Val Benderev allows following entities to bill medicare on his behalf.
Entity Name | Incontinence & Pelvic Support Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619054962 PECOS PAC ID: 5991748154 Enrollment ID: O20050608000529 |
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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 Val Benderev 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 Val Benderev, MD 28432 Via Mambrino, San Juan Capistrano, CA 92675-3346 Ph: (949) 584-7505 | Dr Theodore Val Benderev, MD 26800 Crown Valley Pkwy Ste 475, Mission Viejo, CA 92691-8027 Ph: (888) 827-3286 |
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