Theofanis Kalathas, MD is a medicare enrolled "Internal Medicine" in Brockport, New York. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice University Of Rochester and his current practice location is
156 West Ave Fl 2, Brockport, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 758-7557.
Theofanis Kalathas is licensed to practice in New York (license number 311359) 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 1477042737.
Provider's Profile
| Full Name | Theofanis Kalathas |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 7 Years |
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| Location | 156 West Ave Fl 2, Brockport, New York |
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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. |
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Medical Education and Training:
- Theofanis Kalathas graduated from nursing school in 2017
NPI Data:
- NPI Number: 1477042737
- Provider Enumeration Date: 05/02/2018
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921359423
- Enrollment ID: I20210720002375
Medical Identifiers
Medical identifiers for Theofanis Kalathas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477042737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 311359 (New York) | Secondary |
| 207R00000X | Internal Medicine | 311359 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Rochester | 5799699088 | 793 |
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. Theofanis Kalathas allows following entities to bill medicare on his behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20130619000286 |
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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. Theofanis Kalathas 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 |
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Theofanis Kalathas, MD
156 West Ave Fl 2,
Brockport, NY 14420-1229
Ph: (585) 758-7557 | Theofanis Kalathas, MD
156 West Ave Fl 2,
Brockport, NY 14420-1229
Ph: (585) 758-7557 |
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