Dr Athena Theodosatos, DO MPH is a medicare enrolled "Dermatology" physician in Apopka, Florida. She went to Rowan University School Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Theo Medical Dermatology Llc and her current practice location is
3030 E Semoran Blvd Ste 258, Apopka, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 671-3634.
Dr Athena Theodosatos is licensed to practice in Florida (license number OS10497) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730328691.
Physician's Profile
| Full Name | Dr Athena Theodosatos |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 18 Years |
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| Location | 3030 E Semoran Blvd Ste 258, Apopka, Florida |
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| Accepts Medicare Assignments | Yes. She 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 Athena Theodosatos attended and graduated from Rowan University School Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1730328691
- Provider Enumeration Date: 02/16/2009
- Last Update Date: 10/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 1759431240
- Enrollment ID: I20090603000506
Medical Identifiers
Medical identifiers for Dr Athena Theodosatos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730328691 | NPI | - | NPPES |
| 146TM | Other | FL | BCBSFL |
| 001101800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | OS10497 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Theo Medical Dermatology Llc | 4688814999 | 4 |
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 Athena Theodosatos allows following entities to bill medicare on her behalf.
| Entity Name | Theo Medical Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558707588
PECOS PAC ID: 4688814999
Enrollment ID: O20130710000486 |
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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 Athena Theodosatos 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 Athena Theodosatos, DO MPH
3030 E Semoran Blvd Ste 258,
Apopka, FL 32703-5900
Ph: (407) 671-3634 | Dr Athena Theodosatos, DO MPH
3030 E Semoran Blvd Ste 258,
Apopka, FL 32703-5900
Ph: (407) 671-3634 |
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