Theresa Ellen Jones, MD - Medicare Ophthalmology in Bridgeton, MO

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Theresa Ellen Jones, MD is a medicare enrolled "Ophthalmology" physician in Bridgeton, Missouri. She went to University Of Chicago, Pritzker School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Comprehensive Eye Care And Surgery Inc and her current practice location is 12255 De Paul Dr Ste 360, Bridgeton, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 739-9293.

Theresa Ellen Jones is licensed to practice in Missouri (license number 2004001643) 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 1053428771.

Contact Information

Theresa Ellen Jones, MD
12255 De Paul Dr Ste 360,
Bridgeton, MO 63044-2513
(314) 739-9293
(314) 739-3968

Map and Direction




Physician's Profile

Full NameTheresa Ellen Jones
GenderFemale
SpecialityOphthalmology
Experience25 Years
Location12255 De Paul Dr Ste 360, Bridgeton, 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:
  • Theresa Ellen Jones attended and graduated from University Of Chicago, Pritzker School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1053428771
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 01/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2567434517
  • Enrollment ID: I20040810000790

Medical Identifiers

Medical identifiers for Theresa Ellen Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053428771NPI-NPPES
207538109MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 2004001643 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Depaul Health CenterBridgeton, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Comprehensive Eye Care And Surgery Inc35775044712

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. Theresa Ellen Jones allows following entities to bill medicare on her behalf.
Entity NameComprehensive Eye Care And Surgery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417065129
PECOS PAC ID: 3577504471
Enrollment ID: O20050520000739

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. Theresa Ellen Jones 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
Theresa Ellen Jones, MD
12255 De Paul Dr Ste 360,
Bridgeton, MO 63044-2513

Ph: (314) 739-9293		Theresa Ellen Jones, MD
12255 De Paul Dr Ste 360,
Bridgeton, MO 63044-2513

Ph: (314) 739-9293

Reviews and Comments


Ophthalmology Doctors in Bridgeton, MO

Dundoo Raghunandan, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 12255 De Paul Dr, Suite 420, Bridgeton, MO 63044
Phone: 314-291-5000    Fax: 314-291-4932

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.