Dr Todd A Theobald, MD in Lafayette, CO

Dr Todd A Theobald, MD is a medicare enrolled "Ophthalmology" physician in Lafayette, Colorado. He went to St. Louis College Of Physicians And Surgeons and graduated in 2001 and has 23 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Colorado Permanente Medical Group Pc and his current practice location is 280 Exempla Cir, Lafayette, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 338-4545.

Dr Todd A Theobald is licensed to practice in Colorado (license number DR.0057386) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720077993.

Contact Information

	Dr Todd A Theobald, MD
	280 Exempla Cir, Lafayette, CO 80026-3370
	(303) 338-4545
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Todd A Theobald
Gender	Male
Speciality	Ophthalmology
Experience	23 Years
Location	280 Exempla Cir, Lafayette, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Todd A Theobald attended and graduated from St. Louis College Of Physicians And Surgeons in 2001

NPI Data:

NPI Number: 1720077993
Provider Enumeration Date: 10/19/2005
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 0042355273
Enrollment ID: I20161213000099

Medical Identifiers

Medical identifiers for Dr Todd A Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720077993	NPI	-	NPPES
431560263	Other		TRICARE WEST
027564	Other	CO	KAISER COMMERCIAL NUMBER
04155149	Medicaid	CO
P00799494	Other	MO	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	2009032081 (Missouri)	Secondary
207W00000X	Ophthalmology	0101237885 (Virginia)	Secondary
207W00000X	Ophthalmology	74395 (Georgia)	Secondary
207W00000X	Ophthalmology	DR.0057386 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Permanente Medical Group Pc	1254238454	1113

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 Todd A Theobald allows following entities to bill medicare on his behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

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 Todd A Theobald 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 Todd A Theobald, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: (303) 338-4545	Dr Todd A Theobald, MD 280 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545

Reviews and Comments

Ophthalmology Doctors in Lafayette, CO

Dr. Thomas J Wescom, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545
Dr. Robert Lawrence Kost, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545
Dr. Anthony Francis Kokx, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545
Dr. Erik Letko, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545
Dr. Carolyn Denise Quinn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545
Ashleigh Laurin Levison, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1050 W South Boulder Rd Ste 2100, Lafayette, CO 80026 Phone: 303-261-1600 Fax: 303-261-1601
Dr. Levonne Rachel Lee, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545

Dr Todd A Theobald, MD - Medicare Ophthalmology in Lafayette, CO