Theresa Chadwick, PA-C is a medicare enrolled "Physician Assistant - Medical" in Carthage, Texas. She graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Etmc Physician Group, Inc. and her current practice location is
409 Cottage Rd, Carthage, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 693-3841.
Theresa Chadwick is licensed to practice in Texas (license number PA01697) 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 1427127638.
Provider's Profile
| Full Name | Theresa Chadwick |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 409 Cottage Rd, Carthage, Texas |
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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:
- Theresa Chadwick graduated from nursing school in 2005
NPI Data:
- NPI Number: 1427127638
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 08/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 4880599851
- Enrollment ID: I20090821000188
Medical Identifiers
Medical identifiers for Theresa Chadwick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427127638 | NPI | - | NPPES |
| 063445302 | Medicaid | TX | |
| 00374K | Other | TX | BLUE CROSS OF TEXAS |
| 0063445303 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | PA01697 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Etmc Physician Group, Inc. | 4486915600 | 375 |
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 Chadwick allows following entities to bill medicare on her behalf.
| Entity Name | Choctaw Nation of Oklahoma |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659347623
PECOS PAC ID: 1759294838
Enrollment ID: O20031106000326 |
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| Entity Name | Etmc Physician Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106 |
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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. Theresa Chadwick 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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Theresa Chadwick, PA-C
409 Cottage Rd,
Carthage, TX 75633-1466
Ph: (903) 693-3841 | Theresa Chadwick, PA-C
409 Cottage Rd,
Carthage, TX 75633-1466
Ph: (903) 693-3841 |
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