Dr Theresa Barbara Bazacos, PHD is a
Psychologist - Clinical based in Firestone, Colorado. Dr Theresa Barbara Bazacos is licensed to practice in Colorado (license number PSY 3724) and her current practice location is
5221 Bowersox Pkwy, Firestone, Colorado. She can be reached at her office (for appointments etc.) via phone at
(559) 618-0159.
NPI number for Dr Theresa Barbara Bazacos is 1306103627 and her current mailing address is 5221 Bowersox Pkwy, Firestone, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306103627.
Healthcare Provider's Profile
| Full Name | Dr Theresa Barbara Bazacos |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 5221 Bowersox Pkwy, Firestone, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306103627
- Provider Enumeration Date: 04/12/2012
- Last Update Date: 04/26/2012
Medical Identifiers
Medical identifiers for Dr Theresa Barbara Bazacos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306103627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY 3724 (Colorado) | Primary |
| 103TC0700X | Psychologist - Clinical | PY8481 (Florida) | Secondary |
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 Theresa Barbara Bazacos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theresa Barbara Bazacos, PHD
5221 Bowersox Pkwy,
Firestone, CO 80504-5904
Ph: (559) 618-0159 | Dr Theresa Barbara Bazacos, PHD
5221 Bowersox Pkwy,
Firestone, CO 80504-5904
Ph: (559) 618-0159 |
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