Dr Theodore Surdy, PHD LP - Medicare Psychologist in Mankato, MN

Dr Theodore Surdy, PHD LP is a medicare enrolled "Psychologist - Clinical" provider in Mankato, Minnesota. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1227 Caledonia St, Mankato, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 388-8874.

Dr Theodore Surdy is licensed to practice in Minnesota (license number LP3385) 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 1063463347.

Contact Information

Dr Theodore Surdy, PHD LP
1227 Caledonia St,
Mankato, MN 56001-4329
(507) 388-8874
(507) 685-4807



Healthcare Provider's Profile

Full NameDr Theodore Surdy
GenderMale
SpecialityClinical Psychologist
Experience32 Years
Location1227 Caledonia St, Mankato, Minnesota
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:
  • Dr Theodore Surdy graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1063463347
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 03/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799673505
  • Enrollment ID: I20070503000476

Medical Identifiers

Medical identifiers for Dr Theodore Surdy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063463347NPI-NPPES
06T04SUOtherMNBXBS
114945OtherMNUCARE MINNESOTA
114945OtherFMUNITED
497823400MedicaidMN
HP28628OtherMNHEALTH PARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP3385 (Minnesota)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 Surdy allows following entities to bill medicare on his behalf.
Entity NameSurdy Psychological Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225576127
PECOS PAC ID: 6709162811
Enrollment ID: O20170404000214

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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 Surdy 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 Surdy, PHD LP
1227 Caledonia St,
Mankato, MN 56001-4329

Ph: (507) 388-8874
Dr Theodore Surdy, PHD LP
1227 Caledonia St,
Mankato, MN 56001-4329

Ph: (507) 388-8874

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Psychologist in Mankato, MN

Elizabeth Ann Quinby, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1028 Woodland Ave, Mankato, MN 56001
Phone: 319-493-8773    
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Medicare: Not Enrolled in Medicare
Practice Location: 710 South 2nd St., Mankato, MN 56001
Phone: 507-625-7660    Fax: 507-625-8998
Dr. Kimberly Ann Haala, PH.D., L.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 1025 Marsh St, Mankato, MN 56001
Phone: 507-625-4031    
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Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 600 Reed St, Suite 115, Mankato, MN 56001
Phone: 507-625-4060    Fax: 507-625-3915
Rosean Bishop, PHD
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David Earl Hildebrandt, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 100 Martin Luther King Dr, Mankato, MN 56001
Phone: 507-385-6574    Fax: 507-385-6511

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