Theresa Jane Debord, PMHNP-BC - Medicare Nurse Practitioner in Pinckneyville, IL

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Theresa Jane Debord, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pinckneyville, Illinois. Her current practice location is 5835 State Route 154 # Address2, Pinckneyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 357-9722.

Theresa Jane Debord is licensed to practice in Illinois (license number 277003316) 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 1134772353.

Contact Information

Theresa Jane Debord, PMHNP-BC
5835 State Route 154 # Address2,
Pinckneyville, IL 62274-3418
(618) 357-9722
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Jane Debord
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5835 State Route 154 # Address2, Pinckneyville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134772353
  • Provider Enumeration Date: 07/17/2019
  • Last Update Date: 11/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092225755
  • Enrollment ID: I20250611001537

Medical Identifiers

Medical identifiers for Theresa Jane Debord such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134772353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 277003316 (Illinois)Primary

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 Jane Debord allows following entities to bill medicare on her behalf.
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220414000139

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 Jane Debord 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 Jane Debord, PMHNP-BC
305 W Ray Ave,
Christopher, IL 62822-1241

Ph: (618) 200-3790		Theresa Jane Debord, PMHNP-BC
5835 State Route 154 # Address2,
Pinckneyville, IL 62274-3418

Ph: (618) 357-9722

Reviews and Comments


Nurse Practitioner Nurses in Pinckneyville, IL

Mariah Kathryn Charles, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5383 State Route 154, Pinckneyville, IL 62274
Phone: 618-357-2131    Fax: 618-357-8844
Chelsea M. Kuhnert,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5383 State Route 154, Pinckneyville, IL 62274
Phone: 618-357-2187    Fax: 618-357-6247
Leah M. Hopp, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5383 State Route 154, Pinckneyville, IL 62274
Phone: 618-357-2187    
Katie Lynne Kristine Milton, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5835 State Route 154, Pinckneyville, IL 62274
Phone: 618-357-9722    
Andrea Marie Epplin, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5383 State Route 154, Family Medical Center, Pinckneyville, IL 62274
Phone: 618-357-2131    Fax: 618-357-8844
Kelli R Bean, APRN, FPA, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Main St, Pinckneyville, IL 62274
Phone: 618-995-8073    Fax: 618-822-4019

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.