Timothy A Theobald, DO in Sanford, ME - Medicare Family Practice

Timothy A Theobald, DO is a medicare enrolled "Family Medicine" physician in Sanford, Maine. He went to University Of New England, College Of Osteo Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mainehealth and his current practice location is 25a June St Ste 111, Sanford, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 490-7998.

Timothy A Theobald is licensed to practice in Maine (license number 1523) 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 1104895648.

Contact Information

	Timothy A Theobald, DO
	25a June St Ste 111, Sanford, ME 04073-2642
	(207) 490-7998
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy A Theobald
Gender	Male
Speciality	Family Practice
Experience	29 Years
Location	25a June St Ste 111, Sanford, Maine
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:

Timothy A Theobald attended and graduated from University Of New England, College Of Osteo Medicine in 1995

NPI Data:

NPI Number: 1104895648
Provider Enumeration Date: 03/16/2006
Last Update Date: 04/01/2019

Medicare PECOS Information:

PECOS PAC ID: 3577523372
Enrollment ID: I20041015000620

Medical Identifiers

Medical identifiers for Timothy A Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104895648	NPI	-	NPPES
280450099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1523 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mainehealth Care At Home	Saco, ME	Home health agency
Hospice Of Southern Maine	Scarborough, ME	Hospice
Southern Maine Health Care	Biddeford, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainehealth	7517860588	2067

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. Timothy A Theobald allows following entities to bill medicare on his behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

Entity Name	Southern Maine Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060

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. Timothy A Theobald 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
Timothy A Theobald, DO 1 Medical Center Dr, Biddeford, ME 04005-9422 Ph: (207) 282-9080	Timothy A Theobald, DO 25a June St Ste 111, Sanford, ME 04073-2642 Ph: (207) 490-7998

Reviews and Comments

Family Medicine Doctors in Sanford, ME

Mary L Callison, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Goodall Drive, Sanford, ME 04073 Phone: 207-490-7790
Steven J Schneider, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-324-8311 Fax: 207-324-7899
Melissa Ifantides, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Suite 101, Sanford, ME 04073 Phone: 207-490-7998
William F Frank, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14 Winter St, Sanford, ME 04073 Phone: 207-324-3226 Fax: 207-324-4088
James Edward Chlebowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-490-7731 Fax: 207-490-7028
Mr. Richard S Tockman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25a June St, Sanford, ME 04073 Phone: 207-324-8311 Fax: 207-324-7899

Timothy A Theobald, DO - Medicare Family Practice in Sanford, ME