Dr Peter S Theodore, PHD in Los Angeles, CA - Medicare Psychologist Provider

Dr Peter S Theodore, PHD is a medicare enrolled "Psychologist" provider in Los Angeles, California. His current practice location is 116 N Robertson Blvd, 805, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (626) 270-3351.

Dr Peter S Theodore is licensed to practice in California (license number PSY22511) 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 1487080651.

Contact Information

	Dr Peter S Theodore, PHD
	116 N Robertson Blvd, 805, Los Angeles, CA 90048-3103
	(626) 270-3351
	(626) 284-0550

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Peter S Theodore
Gender	Male
Speciality	Psychologist
Location	116 N Robertson Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487080651
Provider Enumeration Date: 09/19/2013
Last Update Date: 09/19/2013

Medicare PECOS Information:

PECOS PAC ID: 7113397993
Enrollment ID: I20230112001939

Medical Identifiers

Medical identifiers for Dr Peter S Theodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487080651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY22511 (California)	Primary

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. Dr Peter S Theodore 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
Dr Peter S Theodore, PHD 7428 Hollywood Blvd, 202, Los Angeles, CA 90046-2800 Ph: (626) 270-3351	Dr Peter S Theodore, PHD 116 N Robertson Blvd, 805, Los Angeles, CA 90048-3103 Ph: (626) 270-3351

Reviews and Comments

Psychologist in Los Angeles, CA

Dr. Jennie M. Mathess, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 N Avenue 66, Los Angeles, CA 90042 Phone: 626-395-7100
Dr. Dennis S. Klos, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025 Phone: 310-476-5277
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Dr. Kara Taguchi, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020 Phone: 213-305-2999 Fax: 213-381-5497
Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698
Molly Cevasco, PH.D., BCBA Psychologist Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027 Phone: 323-361-3849
Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Dr Peter S Theodore, PHD - Medicare Psychologist in Los Angeles, CA