Theodore K Mlapah, MD - Medicare Hospitalist in Holyoke, MA

Theodore K Mlapah, MD is a medicare enrolled "Internal Medicine" physician in Holyoke, Massachusetts. He went to University Of Texas Medical Branch At Galveston and graduated in 2003 and has 21 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Holyoke Medical Center Inc and his current practice location is 575 Beech Street, Holyoke Medical Center, Holyoke, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 534-2500.

Theodore K Mlapah is licensed to practice in Massachusetts (license number 229246) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811929342.

Contact Information

Theodore K Mlapah, MD
575 Beech Street, Holyoke Medical Center,
Holyoke, MA 01040
(413) 534-2500
(413) 540-5055

Map and Direction




Physician's Profile

Full NameTheodore K Mlapah
GenderMale
SpecialityHospitalist
Experience21 Years
Location575 Beech Street, Holyoke, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore K Mlapah attended and graduated from University Of Texas Medical Branch At Galveston in 2003
  NPI Data:
  • NPI Number: 1811929342
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 02/24/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5597765966
  • Enrollment ID: I20070109000202

Medical Identifiers

Medical identifiers for Theodore K Mlapah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811929342NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 229246 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Holyoke Medical CenterHolyoke, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holyoke Medical Center Inc2163419383122

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 K Mlapah allows following entities to bill medicare on his behalf.
Entity NameHolyoke Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750395737
PECOS PAC ID: 2163419383
Enrollment ID: O20040429000312
Entity NameSound Physicians Of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740678408
PECOS PAC ID: 2062554637
Enrollment ID: O20100120000133
Entity NameMassachusetts Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306134812
PECOS PAC ID: 9234303082
Enrollment ID: O20111114000448
Entity NameSound Physicians Of Massachusetts Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306376397
PECOS PAC ID: 9436421567
Enrollment ID: O20170823003703

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 K Mlapah 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
Theodore K Mlapah, MD
289 Tanglewood Dr, Apt# 5,
Longmeadow, MA 01106-1652

Ph: (413) 205-9702
Theodore K Mlapah, MD
575 Beech Street, Holyoke Medical Center,
Holyoke, MA 01040

Ph: (413) 534-2500

Reviews and Comments


Internal Medicine Doctors in Holyoke, MA

Dr. Amir Feroz Mohani, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 230 Maple St Ste 301, Holyoke, MA 01040
Phone: 413-534-1800    Fax: 413-534-1900
Vamseedhar Alla, M.D.
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Practice Location: 575 Beech St, Holyoke, MA 01040
Phone: 413-534-2500    
Thevenin Carl Henry Beauzile, M.D.
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Practice Location: 230 Maple St, Holyoke, MA 01040
Phone: 413-420-2200    
Alejandro Esparza-perez, M.D.
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Practice Location: 230 Maple St Ste 1, Holyoke, MA 01040
Phone: 413-420-2200    Fax: 413-539-9472
Ana Mercedes Roca Mattei, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Hospital Dr., Suite 101 Western Mass Physician Associ, D/b/a: Holyoke Associaties In Internal Medicine, Holyoke, MA 01040
Phone: 413-536-8924    Fax: 413-532-9141
Garry M Bombardier, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Holyoke Hospital, 575 Beech Street, Holyoke, MA 01040
Phone: 413-534-2500    
Dr. Lorenver O Po, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2 Hospital Dr Suite 101, Holyoke Associates In Internal Medicine, Holyoke, MA 01040
Phone: 413-536-8924    Fax: 413-532-9141

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).

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