Theron Garrick Mccormick, MD in Baton Rouge, LA

Theron Garrick Mccormick, MD is a medicare enrolled "Pediatrics - Pediatric Allergy/immunology" physician in Baton Rouge, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2000 and has 24 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Our Lady Of The Lake Physician Group Llc and his current practice location is 8200 Constantin Blvd Fl 3, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 765-5500.

Theron Garrick Mccormick is licensed to practice in Louisiana (license number 201441) 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 1649367541.

Contact Information

	Theron Garrick Mccormick, MD
	8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809-3481
	(225) 765-5500
	(225) 765-4378

Map and Direction

Physician's Profile

Full Name	Theron Garrick Mccormick
Gender	Male
Speciality	Allergy/immunology
Experience	24 Years
Location	8200 Constantin Blvd Fl 3, Baton Rouge, Louisiana
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:

Theron Garrick Mccormick attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2000

NPI Data:

NPI Number: 1649367541
Provider Enumeration Date: 10/10/2006
Last Update Date: 02/05/2021

Medicare PECOS Information:

PECOS PAC ID: 2163467465
Enrollment ID: I20071003000692

Medical Identifiers

Medical identifiers for Theron Garrick Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649367541	NPI	-	NPPES
1017973	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	201441 (Louisiana)	Secondary
207K00000X	Allergy & Immunology	L5832 (Texas)	Secondary
2080P0201X	Pediatrics - Pediatric Allergy/immunology	201441 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Lake Physician Group Llc	4587849781	521

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. Theron Garrick Mccormick allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of The Lake Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377

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. Theron Garrick Mccormick 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
Theron Garrick Mccormick, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0011	Theron Garrick Mccormick, MD 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809-3481 Ph: (225) 765-5500

Reviews and Comments

Pediatrics Doctors in Baton Rouge, LA

Manish Gope Raisingani, Pediatrics Medicare: Medicare Enrolled Practice Location: 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809 Phone: 225-765-5500 Fax: 225-765-1733
Traci T. Lacy, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7373 Perkins Rd, Baton Rouge, LA 70808 Phone: 225-769-4044
Dr. Michelle L Flechas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12525 Perkins Rd, Suite C, Baton Rouge, LA 70810 Phone: 225-769-2003 Fax: 225-767-3055
Dr. Richard Francis Lasseigne Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Constantin Blvd, Baton Rouge, LA 70809 Phone: 225-374-1410 Fax: 225-374-1616
Dr. Horace Jay Collinsworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806 Phone: 225-765-5633 Fax: 225-765-5634
Myriam Aracelis Ortiz-de Jesus', MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11424 Sullivan Rd, Suite B1, Baton Rouge, LA 70818 Phone: 225-761-5200
Kelly Elizabeth Ordemann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8415 Goodwood Blvd Ste 202, Baton Rouge, LA 70806 Phone: 225-765-8013 Fax: 225-765-2033

Theron Garrick Mccormick, MD - Medicare Allergy/immunology in Baton Rouge, LA