Theresa E Maldonado, MD - Medicare Pediatrics in Greenwich, CT

Theresa E Maldonado, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Greenwich, Connecticut. Her current practice location is 5 Perryridge Rd, Greenwich, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 863-3000.

Theresa E Maldonado is licensed to practice in Connecticut (license number 60338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861578700.

Contact Information

Theresa E Maldonado, MD
5 Perryridge Rd,
Greenwich, CT 06830
(203) 863-3000
Not Available

Map and Direction




Physician's Profile

Full NameTheresa E Maldonado
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location5 Perryridge Rd, Greenwich, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861578700
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 10/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4587739602
  • Enrollment ID: I20080823000096

Medical Identifiers

Medical identifiers for Theresa E Maldonado such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861578700NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine 208674 (New York)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 60338 (Connecticut)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. Theresa E Maldonado allows following entities to bill medicare on her behalf.
Entity NameMontefiore Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063525152
PECOS PAC ID: 3779496021
Enrollment ID: O20031113000235
Entity NameCity Medical Of Upper East Side Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052

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. Theresa E Maldonado 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 AddressPractice Location Address
Theresa E Maldonado, MD
102 Penn Rd,
Scarsdale, NY 10583-7558

Ph: (914) 713-8865
Theresa E Maldonado, MD
5 Perryridge Rd,
Greenwich, CT 06830

Ph: (203) 863-3000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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