Theresa R Cruthird, MD in South Bend, IN

Theresa R Cruthird, MD is a medicare enrolled "Anesthesiology" physician in South Bend, Indiana. Her current practice location is 121 S Saint Louis Blvd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 233-3123.

Theresa R Cruthird is licensed to practice in Indiana (license number 01073502A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194040048.

Contact Information

	Theresa R Cruthird, MD
	121 S Saint Louis Blvd, South Bend, IN 46617-2924
	(574) 233-3123
	(574) 233-3125

Map and Direction

Physician's Profile

Full Name	Theresa R Cruthird
Gender	Female
Speciality	Anesthesiology
Location	121 S Saint Louis Blvd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194040048
Provider Enumeration Date: 04/05/2010
Last Update Date: 11/26/2014

Medicare PECOS Information:

PECOS PAC ID: 2567699424
Enrollment ID: I20140804002293

Medical Identifiers

Medical identifiers for Theresa R Cruthird such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194040048	NPI	-	NPPES
201228320	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	01073502A (Indiana)	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. Theresa R Cruthird allows following entities to bill medicare on her behalf.

Entity Name	New Amsterdam Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205460748 PECOS PAC ID: 6002246840 Enrollment ID: O20200420001383

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. Theresa R Cruthird 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
Theresa R Cruthird, MD Po Box 4016, South Bend, IN 46634-4016 Ph: (574) 233-3123	Theresa R Cruthird, MD 121 S Saint Louis Blvd, South Bend, IN 46617-2924 Ph: (574) 233-3123

Reviews and Comments

Anesthesiology Doctors in South Bend, IN

Dr. Fahimulla Z Shariff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Bryan R Wipperman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Ike Van Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Shane Michael Ditty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Ste. 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Ryan R. Sorrell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Daniel M Cooke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235

Theresa R Cruthird, MD - Medicare Anesthesiology in South Bend, IN