Dr Theodore B Jefferson, MD - Medicare Family Medicine in Mokena, IL

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Dr Theodore B Jefferson, MD is a medicare enrolled "Family Medicine" physician in Mokena, Illinois. His current practice location is 11043 Quail Dr, Mokena, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 303-2789.

Dr Theodore B Jefferson is licensed to practice in Illinois (license number 36-112824) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568495091.

Contact Information

Dr Theodore B Jefferson, MD
11043 Quail Dr,
Mokena, IL 60448-8286
(708) 303-2789
(708) 300-4772

Map and Direction




Physician's Profile

Full NameDr Theodore B Jefferson
GenderMale
SpecialityFamily Medicine
Location11043 Quail Dr, Mokena, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568495091
  • Provider Enumeration Date: 07/08/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062454572
  • Enrollment ID: I20050525000407

Medical Identifiers

Medical identifiers for Dr Theodore B Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568495091NPI-NPPES
036112824MedicaidIL
K17486OtherILPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 36-112824 (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. Dr Theodore B Jefferson allows following entities to bill medicare on his behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NamePana Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942326970
PECOS PAC ID: 3274437348
Enrollment ID: O20031121000350
Entity NameMemorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20031126000246
Entity NameThomas H Boyd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811096811
PECOS PAC ID: 8123085560
Enrollment ID: O20041216000800
Entity NameIntegritas Emergency Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790128817
PECOS PAC ID: 7113167446
Enrollment ID: O20130710000760
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284

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 Theodore B Jefferson 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 Theodore B Jefferson, MD
11043 Quail Dr,
Mokena, IL 60448-8286

Ph: (708) 303-2789		Dr Theodore B Jefferson, MD
11043 Quail Dr,
Mokena, IL 60448-8286

Ph: (708) 303-2789

Reviews and Comments


Family Medicine Doctors in Mokena, IL

Jill A Patterson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11148 Front St, Mokena, IL 60448
Phone: 708-478-5763    Fax: 708-478-8763
Dr. Sital Bhargava, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11801 London Bridge Dr,, Mokena, IL 60448
Phone: 815-277-9232    Fax: 815-410-4806
Dr. Joseph P Prieboy, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11243 W Laporte Rd, Mokena, IL 60448
Phone: 708-479-4681    Fax: 708-479-8516
Dr. Jeffrey Anthony Schiappa Sr., D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10260 W. 191st Street, Mokena, IL 60448
Phone: 708-479-8889    Fax: 708-479-8214
Dr. Galia L Beitner, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21202 Owens Rd Ste 201, Mokena, IL 60448
Phone: 779-334-0020    Fax: 779-334-0021
Ms. Gabriela Maritza Delgado, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 21202 Owens Rd Ste 201, Mokena, IL 60448
Phone: 779-334-0020    Fax: 779-334-0021
Dr. Rebecca J Crainsmith, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 19162 88th Ave, Mokena, IL 60448
Phone: 708-567-4796    Fax: 708-326-2965

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.