Theresa A Shouse, MD - Medicare Pediatrics in Plano, TX

Theresa A Shouse, MD is a medicare enrolled "Pediatrics" physician in Plano, Texas. Her current practice location is 6200 W Parker Rd, #410, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 981-8380.

Theresa A Shouse is licensed to practice in Texas (license number H8400) 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 1467406058.

Contact Information

Theresa A Shouse, MD
6200 W Parker Rd, #410,
Plano, TX 75093-7939
(972) 981-8380
(972) 981-3234

Map and Direction




Physician's Profile

Full NameTheresa A Shouse
GenderFemale
SpecialityPediatrics
Location6200 W Parker Rd, Plano, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467406058
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527476712
  • Enrollment ID: I20210428002020

Medical Identifiers

Medical identifiers for Theresa A Shouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467406058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics H8400 (Texas)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. Theresa A Shouse allows following entities to bill medicare on her behalf.
Entity NameDallas Physician Medical Services For Children Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194153650
PECOS PAC ID: 1759607906
Enrollment ID: O20150305000673

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. Theresa A Shouse 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
Theresa A Shouse, MD
6200 W Parker Rd, #410,
Plano, TX 75093-7939

Ph: (972) 981-8380
Theresa A Shouse, MD
6200 W Parker Rd, #410,
Plano, TX 75093-7939

Ph: (972) 981-8380

Reviews and Comments


Pediatrics Doctors in Plano, TX

Dr. Elizabeth Y Leon, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6300 W Parker Rd, Suite 426, Plano, TX 75093
Phone: 972-608-0774    Fax: 972-608-0595
Natasha Patel, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7601 Preston Rd, Plano, TX 75024
Phone: 214-456-9250    
Michael J Frank, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5940 Communications Pkwy, Plano, TX 75093
Phone: 972-403-9355    Fax: 972-403-1287
Susan J. Sickler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5940 Communications Pkwy, Plano, TX 75093
Phone: 972-403-9355    Fax: 972-403-1287
Dr. Renesha Christine Butler, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7601 Preston Rd, Plano, TX 75024
Phone: 214-456-9250    Fax: 214-456-1240
Dr. Michael Anthony Russo, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7000 W Plano Pkwy Ste 110, Plano, TX 75093
Phone: 972-306-3767    Fax: 972-566-8839
Dr. Ryan Mcelroy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6200 W Parker Rd, Suite 410, Plano, TX 75093
Phone: 972-981-8380    Fax: 972-981-8463

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).

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