Teresa Barr Jolley, PA-C is a medicare enrolled "Physician Assistant" in Mount Vernon, Missouri. Her current practice location is
108 S Hickory St, Mount Vernon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 466-4110.
Teresa Barr Jolley is licensed to practice in Kentucky (license number TC156) 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 1346341658.
Provider's Profile
| Full Name | Teresa Barr Jolley |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 108 S Hickory St, Mount Vernon, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1346341658
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375553068
- Enrollment ID: I20060425000712
Medical Identifiers
Medical identifiers for Teresa Barr Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346341658 | NPI | - | NPPES |
| 207076 | Other | | BLUE CROSS OF MO |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | TC156 (Kentucky) | Primary |
| 363AM0700X | Physician Assistant - Medical | 2006006813 (Missouri) | 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. Teresa Barr Jolley allows following entities to bill medicare on her behalf.
| Entity Name | Sgoh Acquisition Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
|---|
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. Teresa Barr Jolley 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 |
|---|
Teresa Barr Jolley, PA-C
Po Box 802843,
Kansas City, MO 64180-2843
Ph: (417) 269-5712 | Teresa Barr Jolley, PA-C
108 S Hickory St,
Mount Vernon, MO 65712-1407
Ph: (417) 466-4110 |
Reviews and Comments