Annette K Terebuh, MD is a medicare enrolled "Ophthalmology" physician in Bellefontaine, Ohio. Her current practice location is
1107 Rush Ave, Bellefontaine, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 593-3881.
Annette K Terebuh is licensed to practice in Ohio (license number 35057256) 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 1497774483.
Physician's Profile
| Full Name | Annette K Terebuh |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Location | 1107 Rush Ave, Bellefontaine, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497774483
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 06/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 8022028117
- Enrollment ID: I20071008000362
Medical Identifiers
Medical identifiers for Annette K Terebuh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497774483 | NPI | - | NPPES |
| OH7256 | Other | OH | ECPA PIN |
| P00118537 | Other | OH | RR PIN |
| 4393131 | Other | OH | AETNA PIN |
| 2216471 | Medicaid | OH | |
| 000000065900 | Other | OH | ANTHEM PIN |
| 0872771 | Other | | MEDICARE LEGACY NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 35057256 (Ohio) | 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. Annette K Terebuh allows following entities to bill medicare on her behalf.
| Entity Name | Osu Eye Physicians And Surgeons, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861437923
PECOS PAC ID: 5698671881
Enrollment ID: O20031209000612 |
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| Entity Name | J. Terebuh Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194744102
PECOS PAC ID: 0749183416
Enrollment ID: O20100301000069 |
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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. Annette K Terebuh 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 |
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Annette K Terebuh, MD
Po Box 190, 1107 Rush Ave,
Bellefontaine, OH 43311-0190
Ph: (937) 593-3881 | Annette K Terebuh, MD
1107 Rush Ave,
Bellefontaine, OH 43311-9488
Ph: (937) 593-3881 |
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