Thena Gidget Poteat, MD in Maryville, IL - Medicare Psychiatry & Neurology

Thena Gidget Poteat, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Maryville, Illinois. Her current practice location is 6805 State Route 162 Ste 201, Maryville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 288-5189.

Thena Gidget Poteat is licensed to practice in Illinois (license number 03611132) 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 1114964566.

Contact Information

	Thena Gidget Poteat, MD
	6805 State Route 162 Ste 201, Maryville, IL 62062-8530
	(618) 288-5189
	Not Available

Map and Direction

Physician's Profile

Full Name	Thena Gidget Poteat
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	6805 State Route 162 Ste 201, Maryville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114964566
Provider Enumeration Date: 06/01/2006
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5294715041
Enrollment ID: I20040909001006

Medical Identifiers

Medical identifiers for Thena Gidget Poteat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114964566	NPI	-	NPPES
036111132	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	03611132 (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. Thena Gidget Poteat allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962427856 PECOS PAC ID: 2961489992 Enrollment ID: O20040707000602

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. Thena Gidget Poteat 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
Thena Gidget Poteat, MD 6805 Il 162, Suite 201, Maryville, IL 62062-4181 Ph: (618) 288-5189	Thena Gidget Poteat, MD 6805 State Route 162 Ste 201, Maryville, IL 62062-8530 Ph: (618) 288-5189

Reviews and Comments

Psychiatry & Neurology Doctors in Maryville, IL

Riaz A Naseer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6828 State Route 162, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914
Dr. Sajjan K Nemani, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6828 State Route 162 Ste 2, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914
Syed S Ali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6828 State Route 162, Maryville, IL 62062 Phone: 618-288-5906 Fax: 618-288-5914
Dr. Rahul Bansal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 636-422-0016 Fax: 636-431-3513
Dr. Sanjay K Nigam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6805 State Route 162, Ste 201, Maryville, IL 62062 Phone: 618-288-5019 Fax: 618-288-5059

Thena Gidget Poteat, MD - Medicare Psychiatry & Neurology in Maryville, IL