Theresa Ann Macblane, is a medicare enrolled "Nurse Practitioner - Family" physician in Indiana, Pennsylvania. Her current practice location is
2501 Warren Rd, Indiana, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 349-5620.
Theresa Ann Macblane is licensed to practice in Pennsylvania (license number SP027360) 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 1932802303.
Physician's Profile
Full Name | Theresa Ann Macblane |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2501 Warren Rd, Indiana, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932802303
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254798846
- Enrollment ID: I20230613003005
Medical Identifiers
Medical identifiers for Theresa Ann Macblane such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932802303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | SP027360 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP027360 (Pennsylvania) | 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 Ann Macblane allows following entities to bill medicare on her behalf.
Entity Name | Minuteclinic Video Virtual Care, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200429001777 |
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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 Macblane 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 Macblane, 2501 Warren Rd, Indiana, PA 15701-3280 Ph: (724) 349-5620 | Theresa Ann Macblane, 2501 Warren Rd, Indiana, PA 15701-3280 Ph: (724) 349-5620 |
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