Dr Theodore Joseph Jerdee, MD - Medicare Radiology in Travis Afb, CA

Dr Theodore Joseph Jerdee, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-7182.

Dr Theodore Joseph Jerdee is licensed to practice in California (license number C53747) 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 1104806397.

Contact Information

Dr Theodore Joseph Jerdee, MD
101 Bodin Cir, 60 Mdg/sgqx,
Travis Afb, CA 94535-1809
(707) 423-7182
Not Available



Physician's Profile

Full NameDr Theodore Joseph Jerdee
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104806397
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 07/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5698087302
  • Enrollment ID: I20180108001311

Medical Identifiers

Medical identifiers for Dr Theodore Joseph Jerdee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104806397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology C53747 (California)Primary
208D00000XGeneral Practice 22461 (Oklahoma)Secondary

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 Joseph Jerdee allows following entities to bill medicare on his behalf.
Entity NameJohn Muir Trauma Physicians Billing Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093864837
PECOS PAC ID: 3476542515
Enrollment ID: O20050420001452

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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 Joseph Jerdee 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
Dr Theodore Joseph Jerdee, MD
101 Bodin Cir, 60 Mdg/sgqx,
Travis Afb, CA 94535-1809

Ph: () -
Dr Theodore Joseph Jerdee, MD
101 Bodin Cir, 60 Mdg/sgqx,
Travis Afb, CA 94535-1809

Ph: (707) 423-7182

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Radiology Doctors in Travis Afb, CA

Dr. Teddy Jinnteh Su, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535
Phone: 707-423-7181    
Dr. Zoltan A. Varro, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7182    
James Odone,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7182    
Dr. Lance Dustin Edmonds, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535
Phone: 707-423-7182    
Winnifred Wong, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7691    
Dr. Marvin Glass Jr., PHD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-5119    

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