Dr Theodore B Siciliano, DC is a medicare enrolled "Chiropractor" provider in West Creek, New Jersey. He went to New York Chiropractic College and graduated in 1977 and has 47 years of diverse experience with area of expertise as Chiropractic. His current practice location is
720 S Main St, West Creek, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 597-9333.
Dr Theodore B Siciliano is licensed to practice in New Jersey (license number 38MC00170300) 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 1912055500.
Healthcare Provider's Profile
| Full Name | Dr Theodore B Siciliano |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 47 Years |
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| Location | 720 S Main St, West Creek, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Theodore B Siciliano attended and graduated from New York Chiropractic College in 1977
NPI Data:
- NPI Number: 1912055500
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3577744176
- Enrollment ID: I20110301000902
Medical Identifiers
Medical identifiers for Dr Theodore B Siciliano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912055500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 38MC00170300 (New Jersey) | Primary |
| 111N00000X | Chiropractor | X010479 (New York) | Secondary |
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 B Siciliano allows following entities to bill medicare on his behalf.
| Provider Name | Theodore B. Siciliano,dc Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124325428
PECOS PAC ID: 2668653262
Enrollment ID: O20110301000875 |
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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 B Siciliano 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 |
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Dr Theodore B Siciliano, DC
720 S Main St,
West Creek, NJ 08092-3121
Ph: (609) 597-9333 | Dr Theodore B Siciliano, DC
720 S Main St,
West Creek, NJ 08092-3121
Ph: (609) 597-9333 |
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