DR. THERON EDWARD PARSONS IV PH.D
NPI 1639400161
Social Worker - Clinical in Madison, WI
About Dr. Theron Edward Parsons Iv Ph.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THERON EDWARD PARSONS IV PH.D (NPI 1639400161) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (127066-121) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Theron Edward Parsons Iv Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Theron Parsons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53705
- Reassigned Medicare billing, Wisconsin enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53705
MADISON, WI 53705
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theron Parsons's NPI number?
The NPI number for Theron Parsons is 1639400161. It was assigned to this individual provider in the NPPES registry on January 22, 2010.
Where is Theron Parsons located?
Theron Parsons practices at 702 N Blackhawk Ave Suite 104, Madison, WI 53705. The listed phone number is (608) 669-0605.
What is Theron Parsons's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Theron Parsons enrolled in Medicare?
Yes. Theron Parsons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theron Parsons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theron Parsons reassigns Medicare benefits to Midwest Center For Human Services LLP (Madison, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theron Parsons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theron Parsons accept?
Health plans from Dean Health Plan and Quartz list Theron Parsons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theron Parsons was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theron Edward Parsons IV, PH.D · NPI 1639400161
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since January 22, 2010.
## Identity
- **NPI:** 1639400161 (Entity type: Individual)
- **Enumerated:** January 22, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 127066-121 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 702 N BLACKHAWK AVE, SUITE 104, Madison, WI 53705-3357
- **Phone:** (608) 669-0605 · **Fax:** (608) 231-2334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Midwest Center For Human Services LLP (NPI 1437221686, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** January 22, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1639400161) · Data from the CMS NPPES public registry.