Dr Rudolph A Theobald, DC in Fort Worth, TX - Medicare Chiropractor Provider

Dr Rudolph A Theobald, DC is a medicare enrolled "Chiropractor - Rehabilitation" provider in Fort Worth, Texas. His current practice location is 6024 Soutwest Blvd, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 665-5495.

Dr Rudolph A Theobald is licensed to practice in Texas (license number 8869) 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 1386729929.

Contact Information

	Dr Rudolph A Theobald, DC
	6024 Soutwest Blvd, Fort Worth, TX 76109
	(817) 665-5495
	(817) 524-6194

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rudolph A Theobald
Gender	Male
Speciality	Chiropractor - Rehabilitation
Location	6024 Soutwest Blvd, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386729929
Provider Enumeration Date: 10/25/2006
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8123164076
Enrollment ID: I20091006000516

Medical Identifiers

Medical identifiers for Dr Rudolph A Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386729929	NPI	-	NPPES
11384841	Other	TX	CAQH
149696001	Medicaid	TX
1997117	Other	TX	FIRST HEALTH
606350	Other	TN	BCBS PAR PLAN
104065	Other	TX	AMERIGROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NR0400X	Chiropractor - Rehabilitation	8869 (Texas)	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 Rudolph A Theobald allows following entities to bill medicare on his behalf.

Provider Name	North Texas Injury And Wellness Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700428901 PECOS PAC ID: 6204261092 Enrollment ID: O20200124002257

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 Rudolph A Theobald 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 Address	Practice Location Address
Dr Rudolph A Theobald, DC Po Box 123525, Fort Worth, TX 76121-3525 Ph: (817) 228-2896	Dr Rudolph A Theobald, DC 6024 Soutwest Blvd, Fort Worth, TX 76109 Ph: (817) 665-5495

Reviews and Comments

Chiropractor in Fort Worth, TX

Mr. Jason Meyer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 903 Summit Ave, Fort Worth, TX 76102 Phone: 817-877-5353 Fax: 817-877-5357
Kc Core Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave, Suite 114, Fort Worth, TX 76104 Phone: 817-367-9981 Fax: 817-367-9982
Dr. Jack L Mikeworth, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2200 Evans Ave, Fort Worth, TX 76104 Phone: 817-926-4693 Fax: 817-920-9625
Dr. Rodger Wade Hampton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9405 Crowley Rd, Fort Worth, TX 76134 Phone: 817-293-5355
Dr. Aaron Lee Wall, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3250 Hulen St, Suite 140, Fort Worth, TX 76107 Phone: 817-773-5953
Dr. Kenneth Wayne Parker, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12453 Timberland Blvd, Suite 105, Fort Worth, TX 76244 Phone: 817-431-4300
Freeform Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 4525 Heritage Trace Pkwy, Suite 101, Fort Worth, TX 76244 Phone: 817-431-5100 Fax: 817-887-3008

Dr Rudolph A Theobald, DC - Medicare Chiropractor in Fort Worth, TX