Dr Theresa Maria Disandro, DO in Marlton, NJ

Dr Theresa Maria Disandro, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Marlton, New Jersey. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Virtua Medical Group, Pa and her current practice location is 601 Route 73 N Ste 101, Marlton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 237-8045.

Dr Theresa Maria Disandro is licensed to practice in New Jersey (license number 25MB08554700) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750544391.

Contact Information

	Dr Theresa Maria Disandro, DO
	601 Route 73 N Ste 101, Marlton, NJ 08053-3472
	(856) 237-8045
	(856) 237-8047

Map and Direction

Physician's Profile

Full Name	Dr Theresa Maria Disandro
Gender	Female
Speciality	Gastroenterology
Experience	21 Years
Location	601 Route 73 N Ste 101, Marlton, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Theresa Maria Disandro attended and graduated from Philadelphia College Of Osteopathic Medicine in 2003

NPI Data:

NPI Number: 1750544391
Provider Enumeration Date: 07/03/2008
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 5597818377
Enrollment ID: I20090727000308

Medical Identifiers

Medical identifiers for Dr Theresa Maria Disandro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750544391	NPI	-	NPPES
0198561	Medicaid	NJ
102316770	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	25MB08554700 (New Jersey)	Primary
207RG0100X	Internal Medicine - Gastroenterology	OT010580 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virtua Our Lady Of Lourdes Hospital	Camden, NJ	Hospital
Virtua West Jersey Hospitals	Voorhees, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Virtua Medical Group, Pa	9830222397	1226

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 Theresa Maria Disandro allows following entities to bill medicare on her behalf.

Entity Name	Philadelphia Gastroenterology Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801826177 PECOS PAC ID: 3274430459 Enrollment ID: O20050211000215

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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 Theresa Maria Disandro 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 Theresa Maria Disandro, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340	Dr Theresa Maria Disandro, DO 601 Route 73 N Ste 101, Marlton, NJ 08053-3472 Ph: (856) 237-8045

Reviews and Comments

Internal Medicine Doctors in Marlton, NJ

Dr. Mahbubur Siddique, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731
Rina De Guzman Zuniga, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 141 Route 70 E Ste E, Marlton, NJ 08053 Phone: 856-985-7373 Fax: 856-985-9611
Dr. Abraham S. Horn, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Drive, Suite E, Marlton, NJ 08053 Phone: 856-983-1900 Fax: 856-983-1914
Martin Karl Belsky, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Brick Rd, Suite # 108, Marlton, NJ 08053 Phone: 856-810-7337 Fax: 856-810-7917
James Nicholas Kimbaris, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 601 Route 73 N Ste 101, Marlton, NJ 08053 Phone: 856-237-8045 Fax: 856-237-8047
Dr. Gerald M Braverman, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 306 Posterity Pl, Marlton, NJ 08053 Phone: 856-988-0114
Stacey Rene Zavala, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 406 Lippincott Dr Ste E, Marlton, NJ 08053 Phone: 856-983-1900 Fax: 856-983-5110

Dr Theresa Maria Disandro, DO - Medicare Gastroenterology in Marlton, NJ