Dr Theresa E Montoya-houser, MD - Medicare Internal Medicine in Urbana, IL

Dr Theresa E Montoya-houser, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Urbana, Illinois. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Carle Health Care Incorporated and her current practice location is 1818 E Windsor Rd, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 255-9646.

Dr Theresa E Montoya-houser is licensed to practice in Illinois (license number 036117394) 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 1982650883.

Contact Information

Dr Theresa E Montoya-houser, MD
1818 E Windsor Rd,
Urbana, IL 61802-9566
(217) 255-9646
(217) 326-1777

Map and Direction




Physician's Profile

Full NameDr Theresa E Montoya-houser
GenderFemale
SpecialityInternal Medicine
Experience31 Years
Location1818 E Windsor Rd, Urbana, Illinois
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:
  • Dr Theresa E Montoya-houser graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1982650883
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062429343
  • Enrollment ID: I20070410000455

Medical Identifiers

Medical identifiers for Dr Theresa E Montoya-houser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982650883NPI-NPPES
12922OtherNCBCBS OF NC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 200101375 (North Carolina)Secondary
207R00000XInternal Medicine 036117394 (Illinois)Secondary
207R00000XInternal Medicine 65030 (Georgia)Secondary
207QA0505XFamily Medicine - Adult Medicine 036117394 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carle Home CareChampaign, ILHome health agency
The Carle Foundation HospitalUrbana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated3577515774808

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. Dr Theresa E Montoya-houser allows following entities to bill medicare on her behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 E Montoya-houser 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
Dr Theresa E Montoya-houser, MD
611 W Park St,
Urbana, IL 61801-2529

Ph: (217) 383-6941
Dr Theresa E Montoya-houser, MD
1818 E Windsor Rd,
Urbana, IL 61802-9566

Ph: (217) 255-9646

Reviews and Comments


Family Medicine Doctors in Urbana, IL

Anuja Bedi, D.O, M.P.H
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Timtim Apperson, APRN
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Simone R Hampton, MD
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Phone: 217-383-3170    Fax: 217-383-7650
Manada Khaing, MD
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Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3311    
Stephen M Rudawski, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park St., Urbana, IL 61801
Phone: 217-383-3170    Fax: 217-383-7650
Christian E Wagner, MD
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Medicare: Medicare Enrolled
Practice Location: 1818 E Windsor Rd, Urbana, IL 61802
Phone: 217-255-9670    Fax: 217-255-9650

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.