Dr Teri Lynne Baumgartner, MD - Medicare Obstetrics/gynecology in Athens, TX

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Dr Teri Lynne Baumgartner, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Athens, Texas. She went to University Of Texas Medical School At Houston and graduated in 1995 and has 29 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Etmc Physician Group, Inc. and her current practice location is 115 Medical Cir Ste 103, Athens, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 677-8453.

Dr Teri Lynne Baumgartner is licensed to practice in Texas (license number K6959) 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 1831194836.

Contact Information

Dr Teri Lynne Baumgartner, MD
115 Medical Cir Ste 103,
Athens, TX 75751-9004
(903) 677-8453
(903) 677-8454

Map and Direction




Physician's Profile

Full NameDr Teri Lynne Baumgartner
GenderFemale
SpecialityObstetrics/gynecology
Experience29 Years
Location115 Medical Cir Ste 103, Athens, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Teri Lynne Baumgartner attended and graduated from University Of Texas Medical School At Houston in 1995
  NPI Data:
  • NPI Number: 1831194836
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 02/06/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4789607417
  • Enrollment ID: I20060109000972

Medical Identifiers

Medical identifiers for Dr Teri Lynne Baumgartner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831194836NPI-NPPES
178423301MedicaidTX
8S2731OtherTXIND. BLUE CROSS BLUE SHIE
216528401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology K6959 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ut Health East Texas Athens HospitalAthens, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Etmc Physician Group, Inc.4486915600278

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. Dr Teri Lynne Baumgartner allows following entities to bill medicare on her behalf.
Entity NameEtmc Physician Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106

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. Dr Teri Lynne Baumgartner 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
Dr Teri Lynne Baumgartner, MD
115 Medical Cir Ste 103,
Athens, TX 75751-9004

Ph: (903) 677-8453		Dr Teri Lynne Baumgartner, MD
115 Medical Cir Ste 103,
Athens, TX 75751-9004

Ph: (903) 677-8453

Reviews and Comments


Obstetrics & Gynecology Doctors in Athens, TX

Dr. Mark L Eldore, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 824 Southpark Circle, Athens, TX 75752
Phone: 903-675-7376    Fax: 903-677-4234
Dr. Francine F Mccain, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1336 S Palestine St, Athens, TX 75751
Phone: 903-676-5553    Fax: 903-676-5554
Gregory F. Mondini, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 607 E Clinton Ave, Athens, TX 75751
Phone: 903-675-7700    Fax: 903-675-7809

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.