Mr Theo Joseph Beach Jr, PA-C is a medicare enrolled "Physician Assistant" physician in Smithfield, North Carolina. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Rex Hospital Inc and his current practice location is
131 E Market St, Smithfield, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 934-5441.
Mr Theo Joseph Beach Jr is licensed to practice in North Carolina (license number 0010-09318) 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 1710533286.
Physician's Profile
| Full Name | Mr Theo Joseph Beach Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 131 E Market St, Smithfield, North Carolina |
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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:
- Mr Theo Joseph Beach Jr graduated from medical school in 2019
NPI Data:
- NPI Number: 1710533286
- Provider Enumeration Date: 08/12/2019
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951631225
- Enrollment ID: I20190930001967
Medical Identifiers
Medical identifiers for Mr Theo Joseph Beach Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710533286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0204X | Radiology - Vascular & Interventional Radiology | 0010-09318 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-09318 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rex Hospital Inc | 0840109864 | 658 |
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. Mr Theo Joseph Beach 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 Address | Practice Location Address |
|---|
Mr Theo Joseph Beach Jr, PA-C
131 E Market St,
Smithfield, NC 27577-3915
Ph: (919) 934-5441 | Mr Theo Joseph Beach Jr, PA-C
131 E Market St,
Smithfield, NC 27577-3915
Ph: (919) 934-5441 |
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