Spero John Theodorou, MD in New York, NY - Medicare Plastic Surgery

Spero John Theodorou, MD is a medicare enrolled "Plastic Surgery" physician in New York, New York. His current practice location is 128 Central Park S, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 265-2724.

Spero John Theodorou is licensed to practice in New York (license number 228653) 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 1669444972.

Contact Information

	Spero John Theodorou, MD
	128 Central Park S, New York, NY 10019-1565
	(212) 265-2724
	Not Available

Map and Direction

Physician's Profile

Full Name	Spero John Theodorou
Gender	Male
Speciality	Plastic Surgery
Location	128 Central Park S, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669444972
Provider Enumeration Date: 02/02/2006
Last Update Date: 04/17/2019

Medicare PECOS Information:

PECOS PAC ID: 7517949803
Enrollment ID: I20050202000735

Medical Identifiers

Medical identifiers for Spero John Theodorou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669444972	NPI	-	NPPES
0063771	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	228653 (New York)	Primary

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. Spero John Theodorou allows following entities to bill medicare on his behalf.

Entity Name	East Coast Wound Care P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275582181 PECOS PAC ID: 8527048685 Enrollment ID: O20040721000486

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. Spero John Theodorou 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
Spero John Theodorou, MD 941 Mclean Ave, # 387, Yonkers, NY 10704-4107 Ph: (914) 237-6797	Spero John Theodorou, MD 128 Central Park S, New York, NY 10019-1565 Ph: (212) 265-2724

Reviews and Comments

Plastic Surgery Doctors in New York, NY

Dr. Brad Michael Gandolfi, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 5th Ave Ste 1c, New York, NY 10021 Phone: 212-287-7211 Fax: 212-287-7210
Alexes Hazen, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 535 5th Ave Fl 29, New York, NY 10017 Phone: 917-301-6563 Fax: 347-407-8652
Dr. Richard James Coburn, DMD MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 880 Fifth Avenue, New York, NY 10021 Phone: 212-288-5100 Fax: 212-472-2216
Dr. Thomas W Loeb, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 994 5th Ave, New York, NY 10028 Phone: 212-327-3700 Fax: 212-327-4506
Jack Francis Woods, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: Mskcc, 1275 York Avenue, New York, NY 10065 Phone: 917-375-5135
Mihye Choi, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 E 47th St, Suite 1a, New York, NY 10017 Phone: 212-263-6004 Fax: 212-263-6319
Dr. Robert Johnson Allen Jr., MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave # Mri1007, New York, NY 10065 Phone: 212-639-6131 Fax: 212-717-3677

Spero John Theodorou, MD - Medicare Plastic Surgery in New York, NY