Dr Theodora P Coffman, PHD - Medicare Psychologist in St Petersburg, FL

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Dr Theodora P Coffman, PHD is a medicare enrolled "Psychologist" provider in St Petersburg, Florida. Her current practice location is 146 2nd St N, Suite 310, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 251-6874.

Dr Theodora P Coffman is licensed to practice in Florida (license number PY 9365) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922475599.

Contact Information

Dr Theodora P Coffman, PHD
146 2nd St N, Suite 310,
St Petersburg, FL 33701-3328
(727) 251-6874
(727) 308-1185

Map and Direction




Healthcare Provider's Profile

Full NameDr Theodora P Coffman
GenderFemale
SpecialityPsychologist
Location146 2nd St N, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922475599
  • Provider Enumeration Date: 08/30/2015
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1850751744
  • Enrollment ID: I20230725000671

Medical Identifiers

Medical identifiers for Dr Theodora P Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922475599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY 9365 (Florida)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. Dr Theodora P Coffman allows following entities to bill medicare on her behalf.
Entity NameShoreline Psychological Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093257982
PECOS PAC ID: 7214397108
Enrollment ID: O20230725000341

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 Theodora P Coffman 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
Dr Theodora P Coffman, PHD
146 2nd St N, Suite 310,
St Petersburg, FL 33701-3328

Ph: (727) 251-6874		Dr Theodora P Coffman, PHD
146 2nd St N, Suite 310,
St Petersburg, FL 33701-3328

Ph: (727) 251-6874

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.

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