Theresa M Courtney, MD - Medicare Pediatrics in Macon, GA

Theresa M Courtney, MD is a medicare enrolled "Pediatrics" physician in Macon, Georgia. Her current practice location is 175 Emery Hwy, River Edge Behavioral Health, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 803-7631.

Theresa M Courtney is licensed to practice in Georgia (license number 027043) 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 1508877325.

Contact Information

Theresa M Courtney, MD
175 Emery Hwy, River Edge Behavioral Health,
Macon, GA 31217-3692
(478) 803-7631
(478) 803-8596

Map and Direction




Physician's Profile

Full NameTheresa M Courtney
GenderFemale
SpecialityPediatrics
Location175 Emery Hwy, Macon, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508877325
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 03/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1254479835
  • Enrollment ID: I20091119000409

Medical Identifiers

Medical identifiers for Theresa M Courtney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508877325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 027043 (Georgia)Primary
208000000XPediatrics 28043 (Washington)Secondary

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 M Courtney allows following entities to bill medicare on her behalf.
Entity NameRiver Edge Behavioral Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174512966
PECOS PAC ID: 1153315874
Enrollment ID: O20040414000303

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 M Courtney 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 M Courtney, MD
175 Emery Hwy, River Edge Behavioral Health,
Macon, GA 31217-3692

Ph: (478) 803-7631
Theresa M Courtney, MD
175 Emery Hwy, River Edge Behavioral Health,
Macon, GA 31217-3692

Ph: (478) 803-7631

Reviews and Comments


Pediatrics Doctors in Macon, GA

Dr. Marcia Bender Hutchinson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 149 Ashford Park, Macon, GA 31210
Phone: 478-342-5465    
Lauren Wagner, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 777 Hemlock St, Msc 42, Macon, GA 31201
Phone: 478-633-7600    Fax: 478-633-7354
Rachel Goodson, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1014 Forsyth St, Macon, GA 31201
Phone: 478-633-8100    Fax: 478-633-6268
Lowell Clark, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Msc 83, Macon, GA 31201
Phone: 478-633-7140    
Umesh Narsinghani, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 777 Hemlock St, Macon, GA 31201
Phone: 478-633-7140    
Dr. Vishwas S Sakhalkar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 770 Pine St Ste 520, Macon, GA 31201
Phone: 478-633-2694    Fax: 478-633-4146
Dana Lindsey Mayo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 550 Professional Dr, Macon, GA 31201
Phone: 478-741-3007    

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.