Dr Victoria Harris Thedford, MD in Riverdale, GA

Dr Victoria Harris Thedford, MD is a medicare enrolled "Family Medicine" physician in Riverdale, Georgia. Her current practice location is 483 Upper Riverdale Rd Sw Ste B, Riverdale, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 968-1997.

Dr Victoria Harris Thedford is licensed to practice in Georgia (license number 054039) 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 1730235771.

Contact Information

	Dr Victoria Harris Thedford, MD
	483 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-2579
	(770) 968-1997
	(770) 968-1918

Map and Direction

Physician's Profile

Full Name	Dr Victoria Harris Thedford
Gender	Female
Speciality	Family Medicine
Location	483 Upper Riverdale Rd Sw Ste B, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730235771
Provider Enumeration Date: 01/25/2007
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 0749339745
Enrollment ID: I20090521000578

Medical Identifiers

Medical identifiers for Dr Victoria Harris Thedford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730235771	NPI	-	NPPES
187347049E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	054039 (Georgia)	Secondary
208000000X	Pediatrics	054039 (Georgia)	Secondary
207Q00000X	Family Medicine	054039 (Georgia)	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. Dr Victoria Harris Thedford allows following entities to bill medicare on her behalf.

Entity Name	Stewart Mill Medical & Rehabilitation Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639415706 PECOS PAC ID: 5799924460 Enrollment ID: O20130611000118

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. Dr Victoria Harris Thedford 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
Dr Victoria Harris Thedford, MD Po Box 783, Rex, GA 30273-0783 Ph: (770) 968-1997	Dr Victoria Harris Thedford, MD 483 Upper Riverdale Rd Sw Ste B, Riverdale, GA 30274-2579 Ph: (770) 968-1997

Reviews and Comments

Family Medicine Doctors in Riverdale, GA

Dr. Andre St. Clair Stuart, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 34 Upper Riverdale Rd Se, Suite 100 A, Riverdale, GA 30274 Phone: 770-907-7222 Fax: 770-991-3154
Dr. Tamika Jo Lott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 Phone: 770-968-7933 Fax: 770-996-3941
Daniel E Nibo, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6223 Church St, Riverdale, GA 30274 Phone: 770-997-0047 Fax: 770-997-0390
Dr. Walter H Smith, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6330 Church St, Riverdale, GA 30274 Phone: 770-994-7400
James E Gleason Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 118, Riverdale, GA 30274 Phone: 770-994-6969 Fax: 888-651-5324
Ms. Sherwanna Melissa Wheeler, CRNP Family Medicine Medicare: Medicare Enrolled Practice Location: 7028 Highway 85, Riverdale, GA 30274 Phone: 470-444-3136 Fax: 470-298-7730
Ashli Phillips Alexander, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11 Upper Riverdale Sw Rd, Riverdale, GA 30274 Phone: 770-996-3190 Fax: 770-996-3529

Dr Victoria Harris Thedford, MD - Medicare Family Medicine in Riverdale, GA