Dr Theodore Affue, MD is a medicare enrolled "Urology" physician in El Centro, California. He went to University Of Chicago, Pritzker School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Urology. His current practice location is
2061 Ross Ave, Suite A, El Centro, California. You can reach out to his office (for appointments etc.) via phone at
(760) 353-8181.
Dr Theodore Affue is licensed to practice in California (license number G85320) 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 1386674000.
Physician's Profile
| Full Name | Dr Theodore Affue |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 31 Years |
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| Location | 2061 Ross Ave, El Centro, California |
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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 Affue attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1993
NPI Data:
- NPI Number: 1386674000
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 05/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 6204724099
- Enrollment ID: I20040304000786
Medical Identifiers
Medical identifiers for Dr Theodore Affue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386674000 | NPI | - | NPPES |
| 00G853200 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | G85320 (California) | Primary |
Medical Facilities Affiliation
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 Affue allows following entities to bill medicare on his behalf.
| Entity Name | Theodore Affue Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316033459
PECOS PAC ID: 6608876487
Enrollment ID: O20061228000472 |
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| Entity Name | Imperial Valley Multi-specialty Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700277647
PECOS PAC ID: 6406165281
Enrollment ID: O20151016002173 |
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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 Affue 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 Affue, MD
2061 Ross Ave, Suite A,
El Centro, CA 92243-3687
Ph: (760) 353-8181 | Dr Theodore Affue, MD
2061 Ross Ave, Suite A,
El Centro, CA 92243-3687
Ph: (760) 353-8181 |
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