Dr Theodore Raymond Dage, ACPNP, DNP in Middletown, NY

Dr Theodore Raymond Dage, ACPNP, DNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Middletown, New York. His current practice location is 707 E Main St, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 333-1000.

Dr Theodore Raymond Dage is licensed to practice in New York (license number 382855) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205344868.

Contact Information

	Dr Theodore Raymond Dage, ACPNP, DNP
	707 E Main St, Middletown, NY 10940-2650
	(845) 333-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Theodore Raymond Dage
Gender	Male
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	707 E Main St, Middletown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205344868
Provider Enumeration Date: 01/17/2018
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 6002217221
Enrollment ID: I20210625000926

Medical Identifiers

Medical identifiers for Dr Theodore Raymond Dage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205344868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	382855 (New York)	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 Theodore Raymond Dage allows following entities to bill medicare on his behalf.

Entity Name	Garnet Health Doctors Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093138851 PECOS PAC ID: 8628293545 Enrollment ID: O20140710000189

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 Theodore Raymond Dage 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 Theodore Raymond Dage, ACPNP, DNP 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-3370	Dr Theodore Raymond Dage, ACPNP, DNP 707 E Main St, Middletown, NY 10940-2650 Ph: (845) 333-1000

Reviews and Comments

Nurse Practitioner Nurses in Middletown, NY

Mrs. Narjeet Kaur, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-4400
Chiquita Houston-armstrong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Lisa Thayer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Ms. Meleta Marie Taylor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999
Katherine Grace Mcdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297
Mr. Nearco Rodriguez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139
Ms. Heather Elizabeth Guinan-clark, MS, MPH, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297

Dr Theodore Raymond Dage, ACPNP, DNP - Medicare Nurse Practitioner in Middletown, NY