Theresa Mcclain, DO - Medicare Obstetrics/gynecology in Allentown, PA

Theresa Mcclain, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Allentown, Pennsylvania. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice St Joseph Medical Group and her current practice location is 1611 Pond Rd Ste 300, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 398-7700.

Theresa Mcclain is licensed to practice in Pennsylvania (license number OS018924) 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 1235573916.

Contact Information

Theresa Mcclain, DO
1611 Pond Rd Ste 300,
Allentown, PA 18104
(610) 398-7700
(610) 398-3917

Map and Direction




Physician's Profile

Full NameTheresa Mcclain
GenderFemale
SpecialityObstetrics/gynecology
Experience11 Years
Location1611 Pond Rd Ste 300, Allentown, Pennsylvania
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 Mcclain graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1235573916
  • Provider Enumeration Date: 04/24/2013
  • Last Update Date: 08/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022302561
  • Enrollment ID: I20171106000062

Medical Identifiers

Medical identifiers for Theresa Mcclain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235573916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology OS018924 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterReading, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Joseph Medical Group3779688650171

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 Mcclain allows following entities to bill medicare on her behalf.
Entity NameSt Joseph Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184754657
PECOS PAC ID: 3779688650
Enrollment ID: O20070421000011
Entity NamePenn State Health Community Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861988644
PECOS PAC ID: 8729351077
Enrollment ID: O20170907002279

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 Mcclain 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 Mcclain, DO
2494 Bernville Rd, Ste 100,
Reading, PA 19605-9466

Ph: (610) 378-2899
Theresa Mcclain, DO
1611 Pond Rd Ste 300,
Allentown, PA 18104

Ph: (610) 398-7700

Reviews and Comments


Obstetrics & Gynecology Doctors in Allentown, PA

Dr. Rachel O'connell, M.D.
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Phone: 845-262-5204    
Treasure Ngozi Ada Walker, MD
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Practice Location: 1245 S Cedar Crest Blvd Ste 201, Allentown, PA 18103
Phone: 610-402-4870    Fax: 610-402-4960
Dr. Timothy M Pellini, MD
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Practice Location: 1245 S Cedar Crest Blvd, Suite 201, Allentown, PA 18103
Phone: 610-437-1931    Fax: 610-433-8791
Shirin Azadi, MD
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Practice Location: 1627 Chew St, Allentown, PA 18102
Phone: 610-402-6000    
Dr. Salam Syed, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-8000    
Jennifer Melanie Heibig, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1200 S Cedar Crest Blvd, Allentown, PA 18103
Phone: 610-402-5100    
Dahlia Kronfli, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1628 Chew St, Allentown, PA 18102
Phone: 610-402-1600    

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).

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