Dr Theodore Ross, MD is a medicare enrolled "Internal Medicine" physician in East Saint Louis, Illinois. He went to Washington University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Southern Illinois Healthcare Foundation, Inc. and his current practice location is
6010 Bond Ave, East Saint Louis, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 337-8153.
Dr Theodore Ross is licensed to practice in Illinois (license number 036075238) 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 1285720508.
Physician's Profile
| Full Name | Dr Theodore Ross |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | 6010 Bond Ave, East Saint Louis, Illinois |
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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 Ross attended and graduated from Washington University School Of Medicine in 1984
NPI Data:
- NPI Number: 1285720508
- Provider Enumeration Date: 10/05/2006
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971693813
- Enrollment ID: I20071217000137
Medical Identifiers
Medical identifiers for Dr Theodore Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285720508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036075238 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 104 |
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 Ross allows following entities to bill medicare on his behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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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 Ross 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 Ross, MD
6000 Bond Ave,
East Saint Louis, IL 62207-2328
Ph: (618) 337-8153 | Dr Theodore Ross, MD
6010 Bond Ave,
East Saint Louis, IL 62207-2328
Ph: (618) 337-8153 |
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