Theodore R Bosch, MD is a medicare enrolled "Surgery" physician in Tulare, California. He went to University Of Washington School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pro Health One Inc and his current practice location is
1064 N Cherry St, Tulare, California. You can reach out to his office (for appointments etc.) via phone at
(559) 687-2344.
Theodore R Bosch is licensed to practice in California (license number A75333) 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 1912032962.
Physician's Profile
Full Name | Theodore R Bosch |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 25 Years |
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Location | 1064 N Cherry St, Tulare, California |
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Accepts Medicare Assignments | Yes. 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 R Bosch attended and graduated from University Of Washington School Of Medicine in 1999
NPI Data:
- NPI Number: 1912032962
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052382579
- Enrollment ID: I20170322001299
Medical Identifiers
Medical identifiers for Theodore R Bosch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912032962 | NPI | - | NPPES |
00A753330 | Other | CA | BLUE SHIELD |
00A753330 | Other | CA | BLUE CROSS |
00A753330 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A75333 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Pro Health One Inc | 2466778089 | 19 |
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 R Bosch allows following entities to bill medicare on his behalf.
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
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Entity Name | Pro Health One Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20210504001507 |
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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 R Bosch 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 R Bosch, MD 1064 N Cherry St, Tulare, CA 93274-2251 Ph: (559) 687-2344 | Theodore R Bosch, MD 1064 N Cherry St, Tulare, CA 93274-2251 Ph: (559) 687-2344 |
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