Theodore Cruz Bryan, MD in Orange, CA

Theodore Cruz Bryan, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Orange, California. His current practice location is 101 The City Dr S, Orange, California. You can reach out to his office (for appointments etc.) via phone at (310) 401-0823.

Theodore Cruz Bryan is licensed to practice in California (license number 165106) 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 1568999324.

Contact Information

	Theodore Cruz Bryan, MD
	101 The City Dr S, Orange, CA 92868-3201
	(310) 401-0823
	Not Available

Map and Direction

Physician's Profile

Full Name	Theodore Cruz Bryan
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	101 The City Dr S, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568999324
Provider Enumeration Date: 05/11/2017
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 1456785708
Enrollment ID: I20230831002856

Medical Identifiers

Medical identifiers for Theodore Cruz Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568999324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	165106 (California)	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 Cruz Bryan allows following entities to bill medicare on his behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346298528 PECOS PAC ID: 3274446182 Enrollment ID: O20031106000833

Entity Name	Vascular And Interventional Specialists Of Orange County, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629070610 PECOS PAC ID: 6608789359 Enrollment ID: O20031107000728

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 Cruz Bryan 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 Cruz Bryan, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (310) 401-0823	Theodore Cruz Bryan, MD 101 The City Dr S, Orange, CA 92868-3201 Ph: (310) 401-0823

Reviews and Comments

Radiology Doctors in Orange, CA

Dr. Ankit Bhupendra Patel, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-5113
Kimberly M. Ray, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 431 S Batavia St, Suite 103, Orange, CA 92868 Phone: 714-538-6731 Fax: 714-771-8369
Dr. David Robert Floriolli, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812
Dr. Lawrence C. Wang, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7237
Dr. Akash C. Joshi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 316-789-5360
Dr. Gerald K. Lee, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-456-7237
Dan Vu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 431 S Batavia St, Ste. 103, Orange, CA 92868 Phone: 714-538-6731 Fax: 714-771-8369

Theodore Cruz Bryan, MD - Medicare Radiology in Orange, CA