Mr Theodore M Hallberg, OD - Medicare Optometrist in Chesapeake, VA

Mr Theodore M Hallberg, OD is a medicare enrolled "Optometrist" provider in Chesapeake, Virginia. He went to Illinois College Of Optometry At Chicago and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southside Eye Care Pllc and his current practice location is 3206 Churchland Blvd, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 484-0101.

Mr Theodore M Hallberg is licensed to practice in Virginia (license number 0601002124) 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 1255331757.

Contact Information

Mr Theodore M Hallberg, OD
3206 Churchland Blvd,
Chesapeake, VA 23321-5206
(757) 484-0101
(757) 484-0515



Healthcare Provider's Profile

Full NameMr Theodore M Hallberg
GenderMale
SpecialityOptometry
Experience28 Years
Location3206 Churchland Blvd, Chesapeake, Virginia
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:
  • Mr Theodore M Hallberg attended and graduated from Illinois College Of Optometry At Chicago in 1996
  NPI Data:
  • NPI Number: 1255331757
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 07/21/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1557320777
  • Enrollment ID: I20041005000098

Medical Identifiers

Medical identifiers for Mr Theodore M Hallberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255331757NPI-NPPES
009235094MedicaidVA
753028236OtherVATAX ID#

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0601002124 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southside Eye Care Pllc68008877793

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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. Mr Theodore M Hallberg allows following entities to bill medicare on his behalf.
Provider NameSouthside Eye Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992794325
PECOS PAC ID: 6800887779
Enrollment ID: O20040519001435

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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. Mr Theodore M Hallberg 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
Mr Theodore M Hallberg, OD
3206 Churchland Blvd,
Chesapeake, VA 23321-5206

Ph: (757) 484-0101
Mr Theodore M Hallberg, OD
3206 Churchland Blvd,
Chesapeake, VA 23321-5206

Ph: (757) 484-0101

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J.a. Rybarczyk, O.d. & Associates, P.c.
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