Mary Theoktisto, in Lakeway, TX - Medicare Internal Medicine

Mary Theoktisto, is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Lakeway, Texas. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Scott And White Clinic and her current practice location is 100 Medical Pkwy, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 571-5000.

Mary Theoktisto is licensed to practice in Texas (license number S3323) 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 1619358934.

Contact Information

	Mary Theoktisto,
	100 Medical Pkwy, Lakeway, TX 78738-5621
	(512) 571-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Theoktisto
Gender	Female
Speciality	Internal Medicine
Experience	9 Years
Location	100 Medical Pkwy, Lakeway, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Theoktisto graduated from medical school in 2015

NPI Data:

NPI Number: 1619358934
Provider Enumeration Date: 06/11/2015
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 9537593967
Enrollment ID: I20191218000921

Medical Identifiers

Medical identifiers for Mary Theoktisto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619358934	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	S3323 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor Scott & White Medical Center - Round Rock	Round rock, TX	Hospital
Baylor Scott & White Pavilion - Temple	Temple, TX	Hospital
Baylor Scott & White Medical Center - Marble Falls	Marble falls, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scott And White Clinic	8123923604	2143

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. Mary Theoktisto allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Hospitalist Medicine Physicians Of Texas - San Antonio Vi, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225516719 PECOS PAC ID: 0143573162 Enrollment ID: O20181022001148

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. Mary Theoktisto 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 Address	Practice Location Address
Mary Theoktisto, Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800	Mary Theoktisto, 100 Medical Pkwy, Lakeway, TX 78738-5621 Ph: (512) 571-5000

Reviews and Comments

Internal Medicine Doctors in Lakeway, TX

Dr. Seema Sidwani-chawla, D.O Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 512-654-0150 Fax: 512-654-0155
Adrienne Gonzales, DO Infectious Disease Medicare: Medicare Enrolled Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-509-0200
Dr. Nandu Gourineni, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 542-724-2111 Fax: 812-378-8267
Dr. Craig Tindall Kopecky, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Medical Pkwy Ste 220, Lakeway, TX 78738 Phone: 512-814-1984 Fax: 855-270-9668
Dr. Karen Alexandra Acosta, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198
Shobha Dharam Reddy, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3108 Ranch Road 620 S, Lakeway, TX 78738 Phone: 512-654-4200 Fax: 512-654-4201
Praveen Koneru, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000

Mary Theoktisto, - Medicare Internal Medicine in Lakeway, TX