Dr Jennifer Anne Theoharis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boerne, Texas. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 1997 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Summit Medical Group, Pllc and her current practice location is
9002 Highlands Cv, Boerne, Texas. You can reach out to her office (for appointments etc.) via phone at
(952) 595-1100.
Dr Jennifer Anne Theoharis is licensed to practice in Texas (license number M0943) 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 1659356913.
Physician's Profile
| Full Name | Dr Jennifer Anne Theoharis |
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| Gender | Female |
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| Speciality | Diagnostic Radiology |
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| Experience | 29 Years |
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| Location | 9002 Highlands Cv, Boerne, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jennifer Anne Theoharis attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1997
NPI Data:
- NPI Number: 1659356913
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 01/20/2026
Medicare PECOS Information:
- PECOS PAC ID: 1456380922
- Enrollment ID: I20260204003990
Medical Identifiers
Medical identifiers for Dr Jennifer Anne Theoharis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659356913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | M0943 (Texas) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | A85035 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 045784 (Connecticut) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 37923 (Tennessee) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Summit Medical Group, Pllc | 2860396330 | 630 |
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 Jennifer Anne Theoharis 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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Dr Jennifer Anne Theoharis, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
Ph: (952) 595-1301 | Dr Jennifer Anne Theoharis, MD
9002 Highlands Cv,
Boerne, TX 78006-4843
Ph: (952) 595-1100 |
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