Dr Theodore Bush Iv, is a
Case Manager/care Coordinator based in New Orleans, Louisiana. Dr Theodore Bush Iv is licensed to practice in * (Not Available) (license number ) and his current practice location is
209 N Broad St Ste A, New Orleans, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(504) 577-1154.
NPI number for Dr Theodore Bush Iv is 1396116562 and his current mailing address is 209 N Broad St Ste A, New Orleans, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396116562.
Healthcare Provider's Profile
Full Name | Dr Theodore Bush Iv |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 209 N Broad St Ste A, New Orleans, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396116562
- Provider Enumeration Date: 10/14/2015
- Last Update Date: 06/01/2018
Medical Identifiers
Medical identifiers for Dr Theodore Bush Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396116562 | NPI | - | NPPES |
600723292 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP1600X | Counselor - Pastoral | 101YP1600X (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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 Bush Iv is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Theodore Bush Iv, 209 N Broad St Ste A, New Orleans, LA 70119-5507 Ph: (504) 577-1154 | Dr Theodore Bush Iv, 209 N Broad St Ste A, New Orleans, LA 70119 Ph: (504) 577-1154 |
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