Theresa Barton, MD - Medicare Pediatric Medicine in Dallas, TX

Theresa Barton, MD is a medicare enrolled "Pediatrics" physician in Dallas, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice University Of Texas Health Science Center At San Antonio and her current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 730-5437.

Theresa Barton is licensed to practice in Texas (license number K7656) 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 1295760205.

Contact Information

Theresa Barton, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7208
(214) 730-5437
Not Available

Map and Direction




Physician's Profile

Full NameTheresa Barton
GenderFemale
SpecialityPediatric Medicine
Experience27 Years
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Barton attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1997
  NPI Data:
  • NPI Number: 1295760205
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 04/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6103986062
  • Enrollment ID: I20081121000284

Medical Identifiers

Medical identifiers for Theresa Barton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295760205NPI-NPPES
142692605MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0208XPediatrics - Pediatric Infectious Diseases K7656 (Texas)Secondary
208000000XPediatrics K7656 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Texas Health Science Center At San Antonio00421285481070

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 Barton allows following entities to bill medicare on her behalf.
Entity NameBaylor College Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053352914
PECOS PAC ID: 8224941265
Enrollment ID: O20031106000562
Entity NameUniversity Of Texas Health Science Center At San Antonio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720051717
PECOS PAC ID: 0042128548
Enrollment ID: O20040607000664
Entity NameTexas Childrens Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861675506
PECOS PAC ID: 4385722081
Enrollment ID: O20080422000209

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 Barton 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 Barton, MD
Po Box 845347,
Dallas, TX 75284-5347

Ph: (214) 730-5437
Theresa Barton, MD
5323 Harry Hines Blvd,
Dallas, TX 75390-7208

Ph: (214) 730-5437

Reviews and Comments


Pediatrics Doctors in Dallas, TX

Dr. Jyothsna Gattineni, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3438    
Ruth Osei Fordjour, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-957-4754    
Dr. Alecia Curlene Nero, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-4180    
Dr. Sravani Avula, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-730-5437    
Asif Zia Khattak, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-7604    
Sadia Malik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-2533    Fax: 214-456-8130
Sana Jamil Siddiqui, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-456-0488    Fax: 214-456-4486

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.