Teddy Theodorakis, NP - Medicare Nurse Practitioner in Brooklyn, NY

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Teddy Theodorakis, NP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 139 85th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (917) 463-9517.

Teddy Theodorakis is licensed to practice in New York (license number F0816957) 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 1689111445.

Contact Information

Teddy Theodorakis, NP
139 85th St,
Brooklyn, NY 11209-4303
(917) 463-9517
Not Available

Map and Direction




Provider's Profile

Full NameTeddy Theodorakis
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location139 85th St, Brooklyn, New York
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:
  • Teddy Theodorakis graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1689111445
  • Provider Enumeration Date: 01/31/2017
  • Last Update Date: 01/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1557776465
  • Enrollment ID: I20210226000026

Medical Identifiers

Medical identifiers for Teddy Theodorakis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689111445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F0816957 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lenox Hill HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Medical Pc33757015685120

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. Teddy Theodorakis allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameGerard Degregoris Iii. Md. Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548757958
PECOS PAC ID: 3476809872
Enrollment ID: O20180627001007

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. Teddy Theodorakis 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
Teddy Theodorakis, NP
139 85th St,
Brooklyn, NY 11209-4303

Ph: (917) 463-9517		Teddy Theodorakis, NP
139 85th St,
Brooklyn, NY 11209-4303

Ph: (917) 463-9517

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.