Mr Theodore M Hallberg, OD in Chesapeake, VA - Medicare Optometry Provider

Mr Theodore M Hallberg, OD is a medicare enrolled "Optometrist" provider in Chesapeake, Virginia. He went to Illinois College Of Optometry At Chicago and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Southside Eye Care Pllc and his current practice location is 3206 Churchland Blvd, Chesapeake, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 484-0101.

Mr Theodore M Hallberg is licensed to practice in Virginia (license number 0601002124) 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 1255331757.

Contact Information

	Mr Theodore M Hallberg, OD
	3206 Churchland Blvd, Chesapeake, VA 23321-5206
	(757) 484-0101
	(757) 484-0515

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Theodore M Hallberg
Gender	Male
Speciality	Optometry
Experience	28 Years
Location	3206 Churchland Blvd, Chesapeake, Virginia
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:

Mr Theodore M Hallberg attended and graduated from Illinois College Of Optometry At Chicago in 1996

NPI Data:

NPI Number: 1255331757
Provider Enumeration Date: 07/26/2005
Last Update Date: 07/21/2010

Medicare PECOS Information:

PECOS PAC ID: 1557320777
Enrollment ID: I20041005000098

Medical Identifiers

Medical identifiers for Mr Theodore M Hallberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255331757	NPI	-	NPPES
009235094	Medicaid	VA
753028236	Other	VA	TAX ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0601002124 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southside Eye Care Pllc	6800887779	3

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. Mr Theodore M Hallberg allows following entities to bill medicare on his behalf.

Provider Name	Southside Eye Care Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992794325 PECOS PAC ID: 6800887779 Enrollment ID: O20040519001435

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. Mr Theodore M Hallberg 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
Mr Theodore M Hallberg, OD 3206 Churchland Blvd, Chesapeake, VA 23321-5206 Ph: (757) 484-0101	Mr Theodore M Hallberg, OD 3206 Churchland Blvd, Chesapeake, VA 23321-5206 Ph: (757) 484-0101

Reviews and Comments

Optometrist in Chesapeake, VA

Dr. Kenneth Robert Westcott, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 601 Innovation Dr Ste B, Chesapeake, VA 23320 Phone: 757-410-3005 Fax: 757-410-3335
Thomas R. Cheezum, O.d., Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 801 Volvo Pkwy, Suite 133, Chesapeake, VA 23320 Phone: 757-549-2225 Fax: 757-549-0380
J.a. Rybarczyk, O.d. & Associates, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1501 Sams Cir, Suite A, Chesapeake, VA 23320 Phone: 757-382-9814
Dr. Aaditya Ajmani, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4300 Portsmouth Blvd, Chesapeake, VA 23321 Phone: 757-465-5555
George W. Pegram Iii, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 801 Poindexter St, Ste 115, Chesapeake, VA 23324 Phone: 757-545-3930
Omg, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 838 Old George Washington Hwy N, #q, Chesapeake, VA 23323 Phone: 757-635-2625
Beach Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4200 Portsmouth Blvd, Ste 49, Chesapeake, VA 23321 Phone: 757-465-8788

Mr Theodore M Hallberg, OD - Medicare Optometrist in Chesapeake, VA