Mrs Theresa A Boxdorfer, FNP - Medicare Nurse Practitioner in Saint Louis, MO

Mrs Theresa A Boxdorfer, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Louis, Missouri. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Signature Medical Group Inc and her current practice location is 12639 Old Tesson Rd, Suite 115, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 849-0311.

Mrs Theresa A Boxdorfer is licensed to practice in Missouri (license number 126462) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063566768.

Contact Information

Mrs Theresa A Boxdorfer, FNP
12639 Old Tesson Rd, Suite 115,
Saint Louis, MO 63128-2786
(314) 849-0311
(314) 849-4423

Map and Direction




Provider's Profile

Full NameMrs Theresa A Boxdorfer
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location12639 Old Tesson Rd, Saint Louis, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Theresa A Boxdorfer graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1063566768
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 08/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729183199
  • Enrollment ID: I20070412000506

Medical Identifiers

Medical identifiers for Mrs Theresa A Boxdorfer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063566768NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 126462 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Signature Medical Group Inc488059829142

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. Mrs Theresa A Boxdorfer allows following entities to bill medicare on her behalf.
Entity NameSignature Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871542761
PECOS PAC ID: 4880598291
Enrollment ID: O20031204000173

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. Mrs Theresa A Boxdorfer 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
Mrs Theresa A Boxdorfer, FNP
12639 Old Tesson Rd, Suite 115,
Saint Louis, MO 63128-2786

Ph: (314) 849-0311
Mrs Theresa A Boxdorfer, FNP
12639 Old Tesson Rd, Suite 115,
Saint Louis, MO 63128-2786

Ph: (314) 849-0311

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.