Theresa Gale Jones, MA, LCMHC, LCAS - Medicare Counselor in Garner, NC

Theresa Gale Jones, MA, LCMHC, LCAS is a medicare enrolled "Counselor - Professional" provider in Garner, North Carolina. Her current practice location is 223 Us Highway 70 E, Suite 150-a, Garner, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 412-3960.

Theresa Gale Jones is licensed to practice in North Carolina (license number 6651) 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 1326248790.

Contact Information

Theresa Gale Jones, MA, LCMHC, LCAS
223 Us Highway 70 E, Suite 150-a,
Garner, NC 27529-4071
(919) 412-3960
(919) 516-4252

Map and Direction


Healthcare Provider's Profile

Full NameTheresa Gale Jones
GenderFemale
SpecialityCounselor - Professional
Location223 Us Highway 70 E, Garner, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326248790
  • Provider Enumeration Date: 07/23/2007
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537510516
  • Enrollment ID: I20240104001762

Medical Identifiers

Medical identifiers for Theresa Gale Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326248790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6651 (North Carolina)Secondary
101YP2500XCounselor - Professional 6651 (North Carolina)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 Gale Jones allows following entities to bill medicare on her behalf.
Entity NameMonarch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801116405
PECOS PAC ID: 0244273852
Enrollment ID: O20050728000103

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 Gale Jones 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 Gale Jones, MA, LCMHC, LCAS
8853 Thornton Town Pl,
Raleigh, NC 27616-8064

Ph: (919) 327-0009
Theresa Gale Jones, MA, LCMHC, LCAS
223 Us Highway 70 E, Suite 150-a,
Garner, NC 27529-4071

Ph: (919) 412-3960

Reviews and Comments


Counselor in Garner, NC

Andrea J Bell, MA, LCAS-P
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 110 Turner St., Garner, NC 27529
Phone: 864-430-5007    Fax: 919-662-1809
Jeanice Young,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1027 Us Highway 70 W, 201, Garner, NC 27529
Phone: 919-773-8002    
Chandler Smith,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 826 Timber Dr, Garner, NC 27529
Phone: 984-242-0291    
Mrs. Joy W Casey, LPA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 141 K Technology Dr, Garner, NC 27529
Phone: 919-779-6612    Fax: 919-779-7854
Tonya Upchurch,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1418 Aversboro Rd Ste 201, Garner, NC 27529
Phone: 919-329-9400    
Alexandria Durr,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 826 Timber Dr, Garner, NC 27529
Phone: 919-585-2282    
Jacqueline Victoria Stevens,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 826 Timber Dr, Garner, NC 27529
Phone: 984-242-0291    

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.