Dr Theodore Kaczmar Jr, MD - Medicare Neurosurgery in Salinas, CA

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Dr Theodore Kaczmar Jr, MD is a medicare enrolled "Neurological Surgery" physician in Salinas, California. He went to Washington University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Svmhs Clinics and his current practice location is 220 San Jose St, Salinas, California. You can reach out to his office (for appointments etc.) via phone at (831) 424-0807.

Dr Theodore Kaczmar Jr is licensed to practice in California (license number G546380) 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 1265449136.

Contact Information

Dr Theodore Kaczmar Jr, MD
220 San Jose St,
Salinas, CA 93901-3901
(831) 424-0807
(831) 424-3408

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Physician's Profile

Full NameDr Theodore Kaczmar Jr
GenderMale
SpecialityNeurosurgery
Experience45 Years
Location220 San Jose St, Salinas, California
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 Theodore Kaczmar Jr attended and graduated from Washington University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1265449136
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 05/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0941268940
  • Enrollment ID: I20041222000220

Medical Identifiers

Medical identifiers for Dr Theodore Kaczmar Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265449136NPI-NPPES
ZZZ70373ZMedicaidCA
94170316793901A002OtherTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery G546380 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salinas Valley Memorial HospitalSalinas, CAHospital
Community Hospital Of The Monterey PeninsulaMonterey, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Svmhs Clinics1456592351191

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 Kaczmar Jr allows following entities to bill medicare on his behalf.
Entity NameMonterey Spine & Joint Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881620599
PECOS PAC ID: 0840295721
Enrollment ID: O20060927000475
Entity NameSvmhs Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093158347
PECOS PAC ID: 1456592351
Enrollment ID: O20130718000197

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 Kaczmar Jr 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 Theodore Kaczmar Jr, MD
1033 Los Palos Dr,
Salinas, CA 93901-3916

Ph: (831) 757-2058		Dr Theodore Kaczmar Jr, MD
220 San Jose St,
Salinas, CA 93901-3901

Ph: (831) 424-0807

Reviews and Comments


Neurological Surgery Doctors in Salinas, CA

Dr. Christopher Charles Carver, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 220 San Jose Street, Salinas, CA 93901
Phone: 831-424-0807    Fax: 831-424-3408
Dr. Gus George Halamandaris, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 220 San Jose St, Salinas, CA 93901
Phone: 831-424-0807    Fax: 831-424-3408
Gurvinder Kaur, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1033 Los Palos Dr Ste A, Salinas, CA 93901
Phone: 831-757-2058    Fax: 831-757-0232

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.