Theodore Crisostomo-wynne, MD in Tacoma, WA

Theodore Crisostomo-wynne, MD is a medicare enrolled "Urology" physician in Tacoma, Washington. His current practice location is Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1110.

Theodore Crisostomo-wynne is licensed to practice in Washington (license number MD61305294) 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 1316486186.

Contact Information

	Theodore Crisostomo-wynne, MD
	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001
	(253) 968-1110
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore Crisostomo-wynne
Gender	Male
Speciality	Urology
Location	Madigan Army Medical Center 9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316486186
Provider Enumeration Date: 02/14/2017
Last Update Date: 08/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3072877588
Enrollment ID: I20220825003455

Medical Identifiers

Medical identifiers for Theodore Crisostomo-wynne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316486186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD61305294 (Washington)	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. Theodore Crisostomo-wynne allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Theodore Crisostomo-wynne 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
Theodore Crisostomo-wynne, MD Po Box 50095, Seattle, WA 98145-5095 Ph: () -	Theodore Crisostomo-wynne, MD Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 Ph: (253) 968-1110

Reviews and Comments

Urology Doctors in Tacoma, WA

Jesse Lee Mierzwiak, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3124 S 19th St, Ste 320, Tacoma, WA 98405 Phone: 253-301-5100
Dr. Scott Paul Cuda, M.D. Urology Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Avenu, Tacoma, WA 98431 Phone: 253-968-2300
Michael Charles Deberardinis, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-372-7102
Zachary Evan Panfili, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Dr. William Matthew Dean, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 314 Martin Luther King Jr Way, Suite 103, Tacoma, WA 98405 Phone: 253-272-4013 Fax: 253-627-5367
Carolyn Anne Salter, M.D. Urology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252
Timothy Brand, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2300

Theodore Crisostomo-wynne, MD - Medicare Urology in Tacoma, WA