Patchouco Theodore, MD - Medicare Emergency Medicine in Knoxville, TN

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Patchouco Theodore, MD is a medicare enrolled "Emergency Medicine" physician in Knoxville, Tennessee. His current practice location is 1924 Alcoa Hwy # U-67, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 305-9350.

Patchouco Theodore is licensed to practice in Tennessee (license number 66626) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528628963.

Contact Information

Patchouco Theodore, MD
1924 Alcoa Hwy # U-67,
Knoxville, TN 37920-1511
(865) 305-9350
(865) 305-8942

Map and Direction




Physician's Profile

Full NamePatchouco Theodore
GenderMale
SpecialityEmergency Medicine
Location1924 Alcoa Hwy # U-67, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528628963
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 02/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002297231
  • Enrollment ID: I20230308003270

Medical Identifiers

Medical identifiers for Patchouco Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528628963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 66626 (Tennessee)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Patchouco Theodore allows following entities to bill medicare on his behalf.
Entity NameApp Of East Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326695537
PECOS PAC ID: 6800127796
Enrollment ID: O20191007003318

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. Patchouco Theodore 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
Patchouco Theodore, MD
10300 Sw 216th St,
Cutler Bay, FL 33190-1003

Ph: () -		Patchouco Theodore, MD
1924 Alcoa Hwy # U-67,
Knoxville, TN 37920-1511

Ph: (865) 305-9350

Reviews and Comments


Emergency Medicine Doctors in Knoxville, TN

Stephen Holtzclaw, M.D.
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Practice Location: 265 Brookview Centre Way, Suite 400, Knoxville, TN 37919
Phone: 865-293-5310    
Dr. Robert Lembersky, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916
Phone: 865-541-8485    
Georganna Michelle Rosel, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920
Phone: 865-305-9000    
Dr. Thomas J Demaro, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5823 Apple Valley Dr, Knoxville, TN 37924
Phone: 561-334-3774    
Dr. Julie W Jeter, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1924 Alcoa Hwy # U67, Knoxville, TN 37920
Phone: 865-305-9350    Fax: 865-305-8681
Dr. Robert K. Dickson, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916
Phone: 865-541-8000    
Dr. Joseph Tucker Montgomery, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 528 Dixon Rd, Knoxville, TN 37934
Phone: 865-604-3476    Fax: 865-675-0833

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.