Theresa Juliette Talley, APN CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Houston, Texas. Her current practice location is
6410 Fannin St Ste 330, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 325-7288.
Theresa Juliette Talley is licensed to practice in Texas (license number 1175137) 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 1750895223.
Physician's Profile
| Full Name | Theresa Juliette Talley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 6410 Fannin St Ste 330, Houston, Texas |
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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: 1750895223
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 12/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426585084
- Enrollment ID: I20241219003351
Medical Identifiers
Medical identifiers for Theresa Juliette Talley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750895223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 209.019646 (Illinois) | Secondary |
| 208000000X | Pediatrics | 18584 (Tennessee) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1175137 (Texas) | 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. Theresa Juliette Talley allows following entities to bill medicare on her behalf.
| Entity Name | Ut Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268 |
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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. Theresa Juliette Talley 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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Theresa Juliette Talley, APN CPNP-AC
835 Sugar Maple Forest St,
Crosby, TX 77532-5633
Ph: (815) 207-0950 | Theresa Juliette Talley, APN CPNP-AC
6410 Fannin St Ste 330,
Houston, TX 77030-3004
Ph: (832) 325-7288 |
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