Dr Victoria Harris Thedford, MD in Riverdale, GA

Dr Victoria Harris Thedford, MD is a medicare enrolled "Pediatrics" physician in Riverdale, Georgia. Her current practice location is 155 Medical Way Ste E, 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
	155 Medical Way Ste E, Riverdale, GA 30274
	(770) 968-1997
	(770) 968-1918

Map and Direction

Physician's Profile

Full Name	Dr Victoria Harris Thedford
Gender	Female
Speciality	Pediatrics
Location	155 Medical Way Ste E, 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: 07/23/2018

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)	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

Entity Name	Fairview Urgent Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962944991 PECOS PAC ID: 2567739139 Enrollment ID: O20170602000184

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 155 Medical Way Ste E, Riverdale, GA 30274 Ph: (770) 968-1997

Reviews and Comments

Pediatrics Doctors in Riverdale, GA

Dr. Angela Patrice Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298
Moo Hee Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178
Manjit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191
Dr. Amjad Iqbal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189c Medical Way, Riverdale, GA 30274 Phone: 770-991-8900 Fax: 770-991-8917
Joana Isabel Benayoun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298
Odell Barnwell Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178
Sook Hee Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178

Dr Victoria Harris Thedford, MD - Medicare Pediatrics in Riverdale, GA