Theresa Darlene Putman, CRNP - Medicare Nurse Practitioner in Reform, AL

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Theresa Darlene Putman, CRNP is a medicare enrolled "Nurse Practitioner" in Reform, Alabama. She went to University Of Alabama School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pickens County Primary Care, Pc, Tuskaloosa Internal Medicine Llc and her current practice location is 108 4th Ave Sw Ste A, Reform, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 375-6251.

Theresa Darlene Putman is licensed to practice in Alabama (license number 1-074182) 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 1609114198.

Contact Information

Theresa Darlene Putman, CRNP
108 4th Ave Sw Ste A,
Reform, AL 35481-8018
(205) 375-6251
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Darlene Putman
GenderFemale
SpecialityNurse Practitioner
Experience30 Years
Location108 4th Ave Sw Ste A, Reform, Alabama
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 Darlene Putman attended and graduated from University Of Alabama School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1609114198
  • Provider Enumeration Date: 01/18/2013
  • Last Update Date: 11/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325283989
  • Enrollment ID: I20130402000284

Medical Identifiers

Medical identifiers for Theresa Darlene Putman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609114198NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-074182 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pickens County Primary Care, Pc165859730713
Tuskaloosa Internal Medicine Llc22644511378

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 Darlene Putman allows following entities to bill medicare on her behalf.
Entity NameInternal Medicine Associates Of Tuscaloosa, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225146004
PECOS PAC ID: 6800813957
Enrollment ID: O20051027000777
Entity NameTuskaloosa Internal Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235221847
PECOS PAC ID: 2264451137
Enrollment ID: O20051121000551
Entity NamePickens County Primary Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629491451
PECOS PAC ID: 1658597307
Enrollment ID: O20140801000707
Entity NameJlbmd Consulting Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003449869
PECOS PAC ID: 6901235969
Enrollment ID: O20200326003641
Entity NamePickens County Primary Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982205753
PECOS PAC ID: 1658597307
Enrollment ID: O20200509000003

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 Darlene Putman 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 Darlene Putman, CRNP
108 4th Ave Sw Ste A,
Reform, AL 35481-8018

Ph: (205) 375-6251		Theresa Darlene Putman, CRNP
108 4th Ave Sw Ste A,
Reform, AL 35481-8018

Ph: (205) 375-6251

Reviews and Comments


Nurse Practitioner Nurses in Reform, AL

Kendall Lewis Estes, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 108 4th Ave Sw, Reform, AL 35481
Phone: 205-375-6251    
Cacyce Fowler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481
Phone: 205-375-6251    
Erin Simpson Shirley, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 108 4th Ave Sw Ste A, Reform, AL 35481
Phone: 205-375-6251    
Marcus Stephenson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 108 4th Ave Ne, Reform, AL 35481
Phone: 205-375-6251    

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.