Dr Lee G Theophelis, MD - Medicare Plastic And Reconstructive Surgery in Melbourne, FL

Dr Lee G Theophelis, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Melbourne, Florida. He went to University Of Miami, Lm Miller School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Health First Medical Group Llc, Health First Physician Specialties Inc and his current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 434-1401.

Dr Lee G Theophelis is licensed to practice in Florida (license number ME59792) 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 1861448318.

Contact Information

Dr Lee G Theophelis, MD
1350 Hickory St,
Melbourne, FL 32901-3224
(321) 434-1401
(321) 434-1667

Map and Direction




Physician's Profile

Full NameDr Lee G Theophelis
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience38 Years
Location1350 Hickory St, Melbourne, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lee G Theophelis attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1861448318
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224060181
  • Enrollment ID: I20050831000648

Medical Identifiers

Medical identifiers for Dr Lee G Theophelis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861448318NPI-NPPES
18869WOtherFLFL MEDICARE
18869VOtherFLFL MEDICARE
372847100MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0127XSurgery - Trauma Surgery ME59792 (Florida)Secondary
2086S0122XSurgery - Plastic And Reconstructive Surgery ME59792 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Health First Home CareMelbourne, FLHome health agency
Holmes Regional Medical CenterMelbourne, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health First Medical Group Llc7416100672689
Health First Physician Specialties Inc953722964642

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 Lee G Theophelis allows following entities to bill medicare on his behalf.
Entity NameHealth First Physician Specialties Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336390020
PECOS PAC ID: 9537229646
Enrollment ID: O20081119000623
Entity NameHealth First Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135

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 Lee G Theophelis 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 AddressPractice Location Address
Dr Lee G Theophelis, MD
3300 S Fiske Blvd,
Rockledge, FL 32955-4306

Ph: () -
Dr Lee G Theophelis, MD
1350 Hickory St,
Melbourne, FL 32901-3224

Ph: (321) 434-1401

Reviews and Comments


Surgery Doctors in Melbourne, FL

Jashbhai K. Patel, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1223 Gateway Dr, Suite 2b, Melbourne, FL 32901
Phone: 321-728-6002    Fax: 321-676-9731
Dr. Mark Raymond Hanley, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Valentine St, Melbourne, FL 32901
Phone: 321-254-7717    Fax: 321-428-4526
James Leighton Mayo, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 8725 N Wickham Rd Ste 203, Melbourne, FL 32940
Phone: 407-821-3555    Fax: 407-821-3556
Roger D Moccia, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1223 Gateway Dr Ste 2c, Melbourne, FL 32901
Phone: 321-549-0815    Fax: 321-768-0039
Christina Marcheva Vassileva, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1350 Hickory St, Melbourne, FL 32901
Phone: 321-434-3455    Fax: 321-434-3456
George N Collis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1223 Gateway Dr, Suite 2b, Melbourne, FL 32901
Phone: 321-725-4500    Fax: 321-676-9731
Dr. Yvonne Denise Zabala, D.O.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1350 S Hickory St, Holmes Regional Med Center, Melbourne, FL 32901
Phone: 321-434-1491    Fax: 321-434-8939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.