Mr Theodore Leon Folkerth, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Oceanside, California. His current practice location is
3998 Vista Way, Suite A, Oceanside, California. You can reach out to his office (for appointments etc.) via phone at
(760) 726-2500.
Mr Theodore Leon Folkerth is licensed to practice in California (license number C30651) 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 1952477572.
Physician's Profile
| Full Name | Mr Theodore Leon Folkerth |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 3998 Vista Way, Oceanside, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952477572
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 04/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385714278
- Enrollment ID: I20080925000431
Medical Identifiers
Medical identifiers for Mr Theodore Leon Folkerth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952477572 | NPI | - | NPPES |
| 00C306510 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C30651 (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. Mr Theodore Leon Folkerth allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376646869
PECOS PAC ID: 3577476761
Enrollment ID: O20031112000695 |
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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. Mr Theodore Leon Folkerth 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 |
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Mr Theodore Leon Folkerth, MD
Po Box 232410,
San Diego, CA 92193-2410
Ph: (619) 543-6164 | Mr Theodore Leon Folkerth, MD
3998 Vista Way, Suite A,
Oceanside, CA 92056-4515
Ph: (760) 726-2500 |
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