Teresa Templin, NP is a medicare enrolled "Nurse Practitioner - Family" in Converse, Indiana. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marion General Hospital and her current practice location is
308 N Jefferson St, Converse, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 660-7870.
Teresa Templin is licensed to practice in Indiana (license number 71001211A) 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 1750362406.
Provider's Profile
| Full Name | Teresa Templin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 308 N Jefferson St, Converse, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Teresa Templin graduated from nursing school in 2001
NPI Data:
- NPI Number: 1750362406
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 10/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820128812
- Enrollment ID: I20100618000187
Medical Identifiers
Medical identifiers for Teresa Templin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750362406 | NPI | - | NPPES |
| 000000321906 | Other | IN | ANTHEM BCBS |
| 200420710 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71001211A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Marion General Hospital | 9133023625 | 106 |
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 Templin allows following entities to bill medicare on her behalf.
| Entity Name | Marion General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483 |
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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. Teresa Templin 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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Teresa Templin, NP
330 North Wabash Ave, Suite G20,
Marion, IN 46952-2600
Ph: (765) 660-7616 | Teresa Templin, NP
308 N Jefferson St,
Converse, IN 46919
Ph: (765) 660-7870 |
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