Theodore G Pantos, MD is a medicare enrolled "Urology" physician in Grosse Pointe Farms, Michigan. His current practice location is
45 Warner Rd, Grosse Pointe Farms, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 881-5612.
Theodore G Pantos is licensed to practice in Michigan (license number 4301023016) 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 1437363744.
Physician's Profile
Full Name | Theodore G Pantos |
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Gender | Male |
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Speciality | Urology |
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Location | 45 Warner Rd, Grosse Pointe Farms, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437363744
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 08/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 3375832421
- Enrollment ID: I20160513000383
Medical Identifiers
Medical identifiers for Theodore G Pantos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437363744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 4301023016 (Michigan) | Primary |
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 G Pantos 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 G Pantos, MD 45 Warner Rd, Grosse Pointe Farms, MI 48236 Ph: (313) 881-5612 | Theodore G Pantos, MD 45 Warner Rd, Grosse Pointe Farms, MI 48236 Ph: (313) 881-5612 |
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