Theresa Ann Coomer, MD is a medicare enrolled "Internal Medicine" physician in Gurley, Alabama. Her current practice location is
5995b Highway 72 E, Gurley, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 776-2094.
Theresa Ann Coomer is licensed to practice in Alabama (license number 00020563) 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 1669478806.
Physician's Profile
Full Name | Theresa Ann Coomer |
---|
Gender | Female |
---|
Speciality | Internal Medicine |
---|
Location | 5995b Highway 72 E, Gurley, Alabama |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669478806
- Provider Enumeration Date: 06/22/2005
- Last Update Date: 10/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 5496736787
- Enrollment ID: I20040524001470
Medical Identifiers
Medical identifiers for Theresa Ann Coomer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669478806 | NPI | - | NPPES |
543415010 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 00020563 (Alabama) | Primary |
208000000X | Pediatrics | 00020563 (Alabama) | Secondary |
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 Ann Coomer allows following entities to bill medicare on her behalf.
Entity Name | Emergency Physicians Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
---|
Entity Name | Hh Fever And Flu Clinic |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1982230876 PECOS PAC ID: 9739510249 Enrollment ID: O20200518002377 |
---|
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 Ann Coomer 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 |
Theresa Ann Coomer, MD 5995b Highway 72 E, Gurley, AL 35748-9460 Ph: (256) 776-2094 | Theresa Ann Coomer, MD 5995b Highway 72 E, Gurley, AL 35748-9460 Ph: (256) 776-2094 |
Reviews and Comments