Dr Theodore James Fallon Jr, MD, MPH is a
Psychoanalyst physician based in Wayne, Pennsylvania. Dr Theodore James Fallon Jr is licensed to practice in Pennsylvania (license number MD028700E) and his current practice location is 1050 King Of Prussia Rd, Wayne, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 827-7436.
NPI number for Dr Theodore James Fallon Jr is 1538384003 and his current mailing address is Po Box 81, Chester Springs, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538384003.
Physician's Profile
| Full Name | Dr Theodore James Fallon Jr |
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| Gender | Male |
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| Speciality | Psychoanalyst |
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| Location | 1050 King Of Prussia Rd, Wayne, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538384003
- Provider Enumeration Date: 04/17/2007
- Last Update Date: 08/07/2020
Medical Identifiers
Medical identifiers for Dr Theodore James Fallon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538384003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD028700E (Pennsylvania) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD028700E (Pennsylvania) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD028700E (Pennsylvania) | Secondary |
| 102L00000X | Psychoanalyst | MD028700E (Pennsylvania) | 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 James Fallon Jr 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 James Fallon Jr, MD, MPH
Po Box 81,
Chester Springs, PA 19425-0081
Ph: (610) 827-7436 | Dr Theodore James Fallon Jr, MD, MPH
1050 King Of Prussia Rd,
Wayne, PA 19087-2830
Ph: (610) 827-7436 |
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