Dr Kerry Diane Thek, MD in Port Orange, FL

Dr Kerry Diane Thek, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Port Orange, Florida. Her current practice location is 1690 Dunlawton Ave Ste 120, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 677-0531.

Dr Kerry Diane Thek is licensed to practice in Florida (license number ME58396) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457349417.

Contact Information

	Dr Kerry Diane Thek, MD
	1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980
	(386) 677-0531
	(386) 673-4658

Map and Direction

Physician's Profile

Full Name	Dr Kerry Diane Thek
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	1690 Dunlawton Ave Ste 120, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457349417
Provider Enumeration Date: 10/12/2005
Last Update Date: 05/23/2018

Medicare PECOS Information:

PECOS PAC ID: 8921174459
Enrollment ID: I20080908000444

Medical Identifiers

Medical identifiers for Dr Kerry Diane Thek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457349417	NPI	-	NPPES
064841800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	E-11212 (Arkansas)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	ME58396 (Florida)	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 Kerry Diane Thek allows following entities to bill medicare on her behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

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 Kerry Diane Thek 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 Kerry Diane Thek, MD 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 Ph: (386) 271-2273	Dr Kerry Diane Thek, MD 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 Ph: (386) 677-0531

Reviews and Comments

Pediatrics Doctors in Port Orange, FL

Ruben J Lopez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1728 Dunlawton Ave, Suite 1, Port Orange, FL 32127 Phone: 386-322-5390 Fax: 386-322-5391
Amy Jung In Kim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5440 S Williamson Blvd Unit 104, Port Orange, FL 32128 Phone: 386-425-1313
Dr. Madiey F. Lawindy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallowtail Dr, Suite # 106, Port Orange, FL 32129 Phone: 386-304-1919 Fax: 386-304-1918
Neena P Chopra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 633 Dunlawton Avenue, Port Orange, FL 32127 Phone: 386-756-1937 Fax: 386-756-4257

Dr Kerry Diane Thek, MD - Medicare Pediatrics in Port Orange, FL