Mrs Carol Theodore, FNP - Medicare Nurse Practitioner in Somers, NY

Mrs Carol Theodore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Somers, New York. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Refuah Health Center Inc and her current practice location is Colonial Court, 374 Route 116, Somers, New York. You can reach out to her office (for appointments etc.) via phone at (914) 276-0880.

Mrs Carol Theodore is licensed to practice in New York (license number F333595) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609092824.

Contact Information

Mrs Carol Theodore, FNP
Colonial Court, 374 Route 116,
Somers, NY 10589
(914) 276-0880
(914) 276-0883

Map and Direction




Provider's Profile

Full NameMrs Carol Theodore
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
LocationColonial Court, Somers, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Carol Theodore graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1609092824
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 09/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668437864
  • Enrollment ID: I20041130000496

Medical Identifiers

Medical identifiers for Mrs Carol Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609092824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F333595 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Refuah Health Center Inc488058441670

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. Mrs Carol Theodore allows following entities to bill medicare on her behalf.
Entity NameRefuah Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669470019
PECOS PAC ID: 4880584416
Enrollment ID: O20040317001392

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. Mrs Carol Theodore 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
Mrs Carol Theodore, FNP
Po Box 306,
Somers, NY 10589-0306

Ph: (914) 276-0880
Mrs Carol Theodore, FNP
Colonial Court, 374 Route 116,
Somers, NY 10589

Ph: (914) 276-0880

Reviews and Comments


Nurse Practitioner Nurses in Somers, NY

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Mrs. Merin Sanoj Joseph, RN, MSN, FNP- BC
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Practice Location: 189 Route 100, Somers, NY 10589
Phone: 914-232-5101    
Mrs. Jane Alice Mcsweeney, CPNP
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Medicare: Medicare Enrolled
Practice Location: 293 Route 100, 104, Somers, NY 10589
Phone: 914-277-3360    Fax: 914-277-1813
Fay Marie Wright, RN, APRN-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 39 Jean Way, Somers, NY 10589
Phone: 914-672-4231    Fax: 914-277-2243

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.