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

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



Healthcare Provider's Profile

Full NameMr Roger Peter Theodore
GenderMale
SpecialityPodiatrist
Location841 Mulberry St, Macon, Georgia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1154398402NPI-NPPES
480018494OtherRAILROAD MEDICARE
00655322AMedicaidGA
480025693OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 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 NameFamily Foot And Ankle Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306183280
PECOS PAC ID: 6608020441
Enrollment ID: O20130204000198

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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 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 AddressPractice 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

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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

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