Mr Roger Peter Theodore, DPM in Macon, GA - Medicare Podiatrist Provider

Mr Roger Peter Theodore, DPM is a medicare enrolled "Podiatrist" provider in Macon, Georgia. His current practice location is 841 Mulberry St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 741-1192.

Mr Roger Peter Theodore is licensed to practice in Georgia (license number 000753) 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 1154398402.

Contact Information

	Mr Roger Peter Theodore, DPM
	841 Mulberry St, Macon, GA 31201
	(478) 741-1192
	(478) 741-0029

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Roger Peter Theodore
Gender	Male
Speciality	Podiatrist
Location	841 Mulberry St, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154398402
Provider Enumeration Date: 03/07/2006
Last Update Date: 05/27/2008

Medicare PECOS Information:

PECOS PAC ID: 1850377581
Enrollment ID: I20040624001467

Medical Identifiers

Medical identifiers for Mr Roger Peter Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154398402	NPI	-	NPPES
480018494	Other		RAILROAD MEDICARE
00655322A	Medicaid	GA
480025693	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	000753 (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. Mr Roger Peter Theodore allows following entities to bill medicare on his behalf.

Provider Name	Family Foot And Ankle Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306183280 PECOS PAC ID: 6608020441 Enrollment ID: O20130204000198

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. Mr Roger Peter 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 Address	Practice Location Address
Mr Roger Peter Theodore, DPM 841 Mulberry St, Macon, GA 31201 Ph: (478) 741-1192	Mr Roger Peter Theodore, DPM 841 Mulberry St, Macon, GA 31201 Ph: (478) 741-1192

Reviews and Comments

Podiatrist in Macon, GA

Moore Foot And Ankle Solutions, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 4100 Riverside Dr Ste 97, Macon, GA 31210 Phone: 478-216-5534
Irma Wejuli, Podiatrist Medicare: Medicare Enrolled Practice Location: 6416 Peake Road, #18, Macon, GA 31210 Phone: 478-238-5577 Fax: 478-238-6575
Dr. Katanga Mccoy, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 940 Pio Nono Ave, Macon, GA 31204 Phone: 478-328-6466 Fax: 478-328-1338
Dr. Joseph Michael Union, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2180 Vineville Ave, Macon, GA 31204 Phone: 478-742-3631 Fax: 478-741-9513
Family Foot And Ankle Ctr Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 841 Mulberry St, Macon, GA 31201 Phone: 478-741-1192 Fax: 478-741-0029
Christopher Anthony Martin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 688 Walnut St Ste 201, Macon, GA 31201 Phone: 706-553-7621 Fax: 706-938-1195

Mr Roger Peter Theodore, DPM - Medicare Podiatrist in Macon, GA