Theresa Antima Bauer, MS, LMFT - Medicare Couples Therapy in Ponte Vedra, FL

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Theresa Antima Bauer, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Ponte Vedra, Florida. Her current practice location is 1102 A1a N Ste 203, Ponte Vedra, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 569-6875.

Theresa Antima Bauer is licensed to practice in Florida (license number MT4857) 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 1912581919.

Contact Information

Theresa Antima Bauer, MS, LMFT
1102 A1a N Ste 203,
Ponte Vedra, FL 32082-4098
(904) 569-6875
(904) 833-3373

Map and Direction


Healthcare Provider's Profile

Full NameTheresa Antima Bauer
GenderFemale
SpecialityMarriage & Family Therapist
Location1102 A1a N Ste 203, Ponte Vedra, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912581919
  • Provider Enumeration Date: 05/06/2021
  • Last Update Date: 05/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193167732
  • Enrollment ID: I20240528002160

Medical Identifiers

Medical identifiers for Theresa Antima Bauer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912581919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist MT4857 (Florida)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 Antima Bauer allows following entities to bill medicare on her behalf.
Entity NameShukrana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053018143
PECOS PAC ID: 7618335159
Enrollment ID: O20230615001821

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 Antima Bauer 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 Antima Bauer, MS, LMFT
1102 A1a N Ste 203,
Ponte Vedra, FL 32082-4098

Ph: (904) 569-6875		Theresa Antima Bauer, MS, LMFT
1102 A1a N Ste 203,
Ponte Vedra, FL 32082-4098

Ph: (904) 569-6875

Reviews and Comments


Marriage & Family Therapist in Ponte Vedra, FL

William Keith Galer, MS, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082
Phone: 904-569-6875    Fax: 904-833-3373
Jessica Holesko, MS, LMFT
Couples Therapy
Medicare: Medicare Enrolled
Practice Location: 1102 A1a N Ste 203, Ponte Vedra, FL 32082
Phone: 904-569-6875    Fax: 904-833-3373
Kristi Pelletier Vega, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 460 Town Plaza Ave Ste 230, Ponte Vedra, FL 32081
Phone: 904-834-9292    

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.