Ms Theodora C Raft, NP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Brooklyn, New York. Her current practice location is
745 64th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(187) 490-7351.
Ms Theodora C Raft is licensed to practice in New York (license number 403307) 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 1083955041.
Provider's Profile
| Full Name | Ms Theodora C Raft |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 745 64th St, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083955041
- Provider Enumeration Date: 03/14/2013
- Last Update Date: 01/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517188188
- Enrollment ID: I20201203000594
Medical Identifiers
Medical identifiers for Ms Theodora C Raft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083955041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 306107 (New York) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 403307 (New York) | 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. Ms Theodora C Raft allows following entities to bill medicare on her behalf.
| Entity Name | Mjhs Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013208602
PECOS PAC ID: 8325219009
Enrollment ID: O20110929000498 |
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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. Ms Theodora C Raft 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 |
|---|
Ms Theodora C Raft, NP
7 Crest Ct,
Middle Island, NY 11953-2135
Ph: () - | Ms Theodora C Raft, NP
745 64th St,
Brooklyn, NY 11220-4745
Ph: (187) 490-7351 |
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