Theodore A Daniel Jr, MD in Saint Clair Shores, MI

Theodore A Daniel Jr, MD is a medicare enrolled "Pediatrics" physician in Saint Clair Shores, Michigan. His current practice location is 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 772-1090.

Theodore A Daniel Jr is licensed to practice in Michigan (license number 4301047561) 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 1689641615.

Contact Information

	Theodore A Daniel Jr, MD
	20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775
	(586) 772-1090
	(586) 772-4366

Map and Direction

Physician's Profile

Full Name	Theodore A Daniel Jr
Gender	Male
Speciality	Pediatrics
Location	20225 E 9 Mile Rd, Saint Clair Shores, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689641615
Provider Enumeration Date: 03/08/2006
Last Update Date: 04/07/2014

Medicare PECOS Information:

PECOS PAC ID: 1759364748
Enrollment ID: I20210319001134

Medical Identifiers

Medical identifiers for Theodore A Daniel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689641615	NPI	-	NPPES
4373576	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301047561 (Michigan)	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. Theodore A Daniel Jr allows following entities to bill medicare on his behalf.

Entity Name	Ascension Michigan-cmg
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851765374 PECOS PAC ID: 7517162761 Enrollment ID: O20160127001523

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. Theodore A Daniel 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
Theodore A Daniel Jr, MD 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775 Ph: (586) 772-1090	Theodore A Daniel Jr, MD 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080-1775 Ph: (586) 772-1090

Reviews and Comments

Pediatrics Doctors in Saint Clair Shores, MI

Rubin Peter Gappy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Giuseppina Lombardo Naughton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
David Walter Kroll, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Kendra Helene Motyl, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-1090 Fax: 586-772-4366
Elizabeth Anne Hall, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 21931 E 9 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-443-4950 Fax: 586-443-4980
Dr. Paul Padesky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20225 E 9 Mile Rd, Suite A, Saint Clair Shores, MI 48080 Phone: 586-772-1090
Lorraine Armstrong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22656 Wildwood St, Saint Clair Shores, MI 48081 Phone: 419-283-4778

Theodore A Daniel Jr, MD - Medicare Pediatrics in Saint Clair Shores, MI