Mr Nicholas Paul Theders, PT in Tustin, CA - Medicare Physical Therapist Provider

Mr Nicholas Paul Theders, PT is a medicare enrolled "Physical Therapist" provider in Tustin, California. His current practice location is 365 W 1st St, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 544-5565.

Mr Nicholas Paul Theders is licensed to practice in California (license number PT19359) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548457609.

Contact Information

	Mr Nicholas Paul Theders, PT
	365 W 1st St, Tustin, CA 92780-3108
	(714) 544-5565
	(714) 544-5570

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Nicholas Paul Theders
Gender	Male
Speciality	Physical Therapist
Location	365 W 1st St, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548457609
Provider Enumeration Date: 10/02/2007
Last Update Date: 12/08/2010

Medicare PECOS Information:

PECOS PAC ID: 7719874320
Enrollment ID: I20120224000482

Medical Identifiers

Medical identifiers for Mr Nicholas Paul Theders such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548457609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT19359 (California)	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. Mr Nicholas Paul Theders allows following entities to bill medicare on his behalf.

Provider Name	Think Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093758849 PECOS PAC ID: 4284521899 Enrollment ID: O20040228000516

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 Nicholas Paul Theders 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 Nicholas Paul Theders, PT 365 W 1st St, Tustin, CA 92780-3108 Ph: (714) 544-5565	Mr Nicholas Paul Theders, PT 365 W 1st St, Tustin, CA 92780-3108 Ph: (714) 544-5565

Reviews and Comments

Physical Therapist in Tustin, CA

Mr. Kenneth Randy Pinkerton, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 W 1st St, Tustin, CA 92780 Phone: 714-544-5565 Fax: 714-544-5570
John Djerbaka, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17251 17th St, Ste. A&b, Tustin, CA 92780 Phone: 714-832-2273 Fax: 714-832-2272
Rachel Libonati, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2492 Walnut Ave, #140, Tustin, CA 92780 Phone: 714-544-2188
Mr. Alex Keuilian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13931 Carroll Way Ste B, Tustin, CA 92780 Phone: 714-988-8120 Fax: 714-988-8119
Jessica Phung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2552 Walnut Ave Ste 130, Tustin, CA 92780 Phone: 714-508-1600
Rehab And Revive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Dow Ave Ste 506, Tustin, CA 92780 Phone: 714-900-3880 Fax: 714-731-0932
Princess Roma Resplandor Malilim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2205 Carob Way, Tustin, CA 92782 Phone: 714-224-8339

Mr Nicholas Paul Theders, PT - Medicare Physical Therapist in Tustin, CA