Dr Theresa J Ross, MD - Medicare General Practice in Monroe, LA

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Dr Theresa J Ross, MD is a medicare enrolled "General Practice" physician in Monroe, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 1984 and has 41 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Affinity Health Group, Llc and her current practice location is 112 Saint John St, Monroe, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 387-5681.

Dr Theresa J Ross is licensed to practice in Louisiana (license number 017867) 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 1528072188.

Contact Information

Dr Theresa J Ross, MD
112 Saint John St,
Monroe, LA 71201-7322
(318) 387-5681
(318) 322-9957

Map and Direction




Physician's Profile

Full NameDr Theresa J Ross
GenderFemale
SpecialityGeneral Practice
Experience41 Years
Location112 Saint John St, Monroe, Louisiana
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 Theresa J Ross attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1984
  NPI Data:
  • NPI Number: 1528072188
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 06/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365546256
  • Enrollment ID: I20070403000090

Medical Identifiers

Medical identifiers for Dr Theresa J Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528072188NPI-NPPES
1342106MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 017867 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monroe Surgical HospitalMonroe, LAHospital
St Francis Medical CenterMonroe, LAHospital
Glenwood Regional Medical CenterWest monroe, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Health Group, Llc933522654763

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 Theresa J Ross allows following entities to bill medicare on her behalf.
Entity NameAffinity Health Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023291226
PECOS PAC ID: 9335226547
Enrollment ID: O20080411000088

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 Theresa J Ross 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 Theresa J Ross, MD
130 Desiard St, Suite 355,
Monroe, LA 71201-7319

Ph: (318) 807-7875		Dr Theresa J Ross, MD
112 Saint John St,
Monroe, LA 71201-7322

Ph: (318) 387-5681

Reviews and Comments


General Practice Doctors in Monroe, LA

Benjamin M Stage, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1136 Oliver Rd, Monroe, LA 71201
Phone: 318-322-3250    Fax: 318-322-3260
Helena G Altick, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 2804 Kilpatrick Blvd, Monroe, LA 71201
Phone: 318-387-2545    
Dr. Robert Mackinnon Raulerson, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 920 Oliver Rd, Monroe, LA 71201
Phone: 318-807-4951    Fax: 318-812-0808

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.