Theron Garrick Mccormick, MD - Medicare Allergy/immunology in Baton Rouge, LA

Theron Garrick Mccormick, MD is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" physician in Baton Rouge, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2000 and has 24 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 8200 Constantin Blvd Fl 3, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-5500.

Theron Garrick Mccormick is licensed to practice in Louisiana (license number 201441) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649367541.

Contact Information

Theron Garrick Mccormick, MD
8200 Constantin Blvd Fl 3,
Baton Rouge, LA 70809-3481
(225) 765-5500
(225) 765-4378



Physician's Profile

Full NameTheron Garrick Mccormick
GenderMale
SpecialityAllergy/immunology
Experience24 Years
Location8200 Constantin Blvd Fl 3, Baton Rouge, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theron Garrick Mccormick attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2000
  NPI Data:
  • NPI Number: 1649367541
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 02/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163467465
  • Enrollment ID: I20071003000692

Medical Identifiers

Medical identifiers for Theron Garrick Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649367541NPI-NPPES
1017973MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology 201441 (Louisiana)Secondary
207K00000XAllergy & Immunology L5832 (Texas)Secondary
2080P0201XPediatrics - Pediatric Allergy/immunology 201441 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Lake Physician Group Llc4587849781521

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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. Theron Garrick Mccormick allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377

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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. Theron Garrick Mccormick 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
Theron Garrick Mccormick, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (225) 526-0011
Theron Garrick Mccormick, MD
8200 Constantin Blvd Fl 3,
Baton Rouge, LA 70809-3481

Ph: (225) 765-5500

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Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-1733
Dr. Daniel Gregg Sloven, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809
Phone: 225-765-5500    Fax: 225-765-2054
Traci T. Lacy, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808
Phone: 225-769-4044    
Dr. Michelle L Flechas, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810
Phone: 225-769-2003    Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809
Phone: 225-374-1410    Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806
Phone: 225-765-5633    Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818
Phone: 225-761-5200    

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