Teodoro Medina, MD is a medicare enrolled "General Practice" physician in Tavares, Florida. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Cora Health Services Inc, Island Doctors Intrastate Llc and his current practice location is
1729 David Walker Dr, Tavares, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 508-4455.
Teodoro Medina is licensed to practice in Florida (license number ACN 793) 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 1093852113.
Physician's Profile
| Full Name | Teodoro Medina |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 26 Years |
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| Location | 1729 David Walker Dr, Tavares, Florida |
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| 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:
- Teodoro Medina graduated from medical school in 2000
NPI Data:
- NPI Number: 1093852113
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890785463
- Enrollment ID: I20160720002795
Medical Identifiers
Medical identifiers for Teodoro Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093852113 | NPI | - | NPPES |
| TW49T | Other | FL | FL BLUE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ACN 793 (Florida) | Primary |
| 208D00000X | General Practice | 14489 (Puerto Rico) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cora Health Services Inc | 1759290992 | 1216 |
| Island Doctors Intrastate Llc | 5395161186 | 77 |
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. Teodoro Medina allows following entities to bill medicare on his behalf.
| Entity Name | Roy H Hinman Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649383845 PECOS PAC ID: 3173584174 Enrollment ID: O20041022000798 |
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| Entity Name | Island Doctors Intrastate Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568083889 PECOS PAC ID: 5395161186 Enrollment ID: O20200811001733 |
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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. Teodoro Medina 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 |
Teodoro Medina, MD 601 S Harbour Island Blvd Ste 200, Tampa, FL 33602-5925 Ph: (727) 322-3439 | Teodoro Medina, MD 1729 David Walker Dr, Tavares, FL 32778-5745 Ph: (352) 508-4455 |
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