Theodore B Stem Jr, MD - Medicare Nephrology in Greensburg, PA

Theodore B Stem Jr, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Greensburg, Pennsylvania. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Wake Forest University Health Sciences and his current practice location is 562 Shearer St, Greensburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 836-8303.

Theodore B Stem Jr is licensed to practice in North Carolina (license number 2016-01133) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538160049.

Contact Information

Theodore B Stem Jr, MD
562 Shearer St,
Greensburg, PA 15601-2746
(724) 836-8303
(724) 836-8311

Map and Direction




Physician's Profile

Full NameTheodore B Stem Jr
GenderMale
SpecialityNephrology
Experience33 Years
Location562 Shearer St, Greensburg, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore B Stem Jr graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1538160049
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 09/08/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507950805
  • Enrollment ID: I20161013000616

Medical Identifiers

Medical identifiers for Theodore B Stem Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538160049NPI-NPPES
0010404120001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 2016-01133 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
North Carolina Baptist HospitalWinston-salem, NCHospital
Davie Medical CenterMocksville, NCHospital
Lexington Memorial Hospital IncLexington, NCHospital
Wilkes Regional Medical CenterNorth wilkesboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wake Forest University Health Sciences44865649521987

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. Theodore B Stem Jr allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436

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. Theodore B Stem Jr 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
Theodore B Stem Jr, MD
Medical Center Blvd,
Winston Salem, NC 27157-0001

Ph: (336) 716-2255
Theodore B Stem Jr, MD
562 Shearer St,
Greensburg, PA 15601-2746

Ph: (724) 836-8303

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.