Dr Theodore M Stevens, PHD in Virginia Beach, VA - Medicare Psychologist Provider

Dr Theodore M Stevens, PHD is a medicare enrolled "Psychologist - Clinical" provider in Virginia Beach, Virginia. His current practice location is 3076 Brickhouse Ct, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 486-0909.

Dr Theodore M Stevens is licensed to practice in Virginia (license number 0810000970) 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 1790824381.

Contact Information

	Dr Theodore M Stevens, PHD
	3076 Brickhouse Ct, Virginia Beach, VA 23452-6859
	(757) 486-0909
	(757) 340-7518

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theodore M Stevens
Gender	Male
Speciality	Psychologist - Clinical
Location	3076 Brickhouse Ct, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790824381
Provider Enumeration Date: 02/06/2007
Last Update Date: 11/20/2009

Medicare PECOS Information:

PECOS PAC ID: 7911021043
Enrollment ID: I20160127001963

Medical Identifiers

Medical identifiers for Dr Theodore M Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790824381	NPI	-	NPPES
007788461	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810000970 (Virginia)	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 M Stevens allows following entities to bill medicare on his behalf.

Entity Name	Lakeside Psychological Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104044528 PECOS PAC ID: 8022076660 Enrollment ID: O20041229000182

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 M Stevens 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 M Stevens, PHD 3076 Brickhouse Ct, Virginia Beach, VA 23452-6859 Ph: (757) 486-0909	Dr Theodore M Stevens, PHD 3076 Brickhouse Ct, Virginia Beach, VA 23452-6859 Ph: (757) 486-0909

Reviews and Comments

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Dr Theodore M Stevens, PHD - Medicare Psychologist in Virginia Beach, VA