Dr Theodore Zwerdling, MD - Medicare Pediatric Medicine in Paradise, CA

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Dr Theodore Zwerdling, MD is a medicare enrolled "Pediatrics" physician in Paradise, California. He went to University Of Cincinnati College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Adventist Health Clearlake Hospital Inc. and his current practice location is 5125 Skyway, Paradise, California. You can reach out to his office (for appointments etc.) via phone at (530) 872-2000.

Dr Theodore Zwerdling is licensed to practice in California (license number G52223) 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 1861475865.

Contact Information

Dr Theodore Zwerdling, MD
5125 Skyway,
Paradise, CA 95969
(530) 872-2000
(530) 332-1049

Map and Direction




Physician's Profile

Full NameDr Theodore Zwerdling
GenderMale
SpecialityPediatric Medicine
Experience44 Years
Location5125 Skyway, Paradise, 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 Zwerdling attended and graduated from University Of Cincinnati College Of Medicine in 1980
  NPI Data:
  • NPI Number: 1861475865
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 07/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9032143185
  • Enrollment ID: I20050919001005

Medical Identifiers

Medical identifiers for Dr Theodore Zwerdling such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861475865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology G52223 (California)Secondary
208000000XPediatrics G52223 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health ClearlakeClearlake, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Clearlake Hospital Inc.307242119781

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 Zwerdling allows following entities to bill medicare on his behalf.
Entity NameAdventist Health Clearlake Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633

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 Zwerdling 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 Zwerdling, MD
5125 Skyway,
Paradise, CA 95969-5624

Ph: (530) 872-2000		Dr Theodore Zwerdling, MD
5125 Skyway,
Paradise, CA 95969

Ph: (530) 872-2000

Reviews and Comments


Pediatrics Doctors in Paradise, CA

Dr. Samuel A Daniyan, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6480 Pentz Rd, Suite E, Paradise, CA 95969
Phone: 530-877-5437    
Mr. James Russell Logan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6470 Pentz Rd, Suite A, Paradise, CA 95969
Phone: 530-872-6655    Fax: 530-872-6653
Dr. Susan L Mallory, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6480 Pentz Rd, Suite E, Paradise, CA 95969
Phone: 530-877-5437    Fax: 530-877-5692

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.