Theodore Steven Roosevelt, MD in Boise, ID

Theodore Steven Roosevelt, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Boise, Idaho. He went to University Of Utah School Of Medicine and graduated in 1974 and has 50 years of diverse experience with area of expertise as Endocrinology. His current practice location is 13909 W Wainwright Dr, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 389-2213.

Theodore Steven Roosevelt is licensed to practice in Idaho (license number M6142) 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 1699754697.

Contact Information

	Theodore Steven Roosevelt, MD
	13909 W Wainwright Dr, Boise, ID 83713-1969
	(208) 389-2213
	(208) 389-4659

Map and Direction

Physician's Profile

Full Name	Theodore Steven Roosevelt
Gender	Male
Speciality	Endocrinology
Experience	50 Years
Location	13909 W Wainwright Dr, Boise, Idaho
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:

Theodore Steven Roosevelt attended and graduated from University Of Utah School Of Medicine in 1974

NPI Data:

NPI Number: 1699754697
Provider Enumeration Date: 01/10/2006
Last Update Date: 05/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1153318274
Enrollment ID: I20040429000405

Medical Identifiers

Medical identifiers for Theodore Steven Roosevelt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699754697	NPI	-	NPPES
002712100	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	M6142 (Idaho)	Secondary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	M6142 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Regional Medical Center	Boise, ID	Hospital

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 Steven Roosevelt allows following entities to bill medicare on his behalf.

Entity Name	Idaho Diabetes And Endocrine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790960961 PECOS PAC ID: 6507902582 Enrollment ID: O20091005000588

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 Steven Roosevelt 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 Steven Roosevelt, MD 13909 W Wainwright Dr, Boise, ID 83713-1969 Ph: (208) 389-2213	Theodore Steven Roosevelt, MD 13909 W Wainwright Dr, Boise, ID 83713-1969 Ph: (208) 389-2213

Reviews and Comments

Internal Medicine Doctors in Boise, ID

Dr. Jennifer A Hofstra, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 757-446-8920 Fax: 757-446-5242
Dr. James Robert Polk, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3104
Dr. Michael Frederic Krug, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 500 W. Fort St, # 111, Boise, ID 83702 Phone: 208-422-1000 Fax: 208-422-1319
Derrel V Walker, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Road, Boise, ID 83706 Phone: 208-367-7350 Fax: 208-367-3951
Dr. Janat E. O'donnell, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 500 W. Fort St., # 111, Boise, ID 83702 Phone: 208-422-1325 Fax: 208-422-1319
Carl L Durning, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 6094 W Emerald St, Boise, ID 83704 Phone: 208-367-6575 Fax: 208-367-6597
Dr. Christopher J Goulet, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286

Theodore Steven Roosevelt, MD - Medicare Endocrinology in Boise, ID