Theresa E Guins, MD - Medicare Pediatrics in Virginia Beach, VA

Theresa E Guins, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Virginia Beach, Virginia. Her current practice location is 3960 Virginia Beach Blvd, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 668-4649.

Theresa E Guins is licensed to practice in Virginia (license number 0101052583) 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 1548212079.

Contact Information

Theresa E Guins, MD
3960 Virginia Beach Blvd,
Virginia Beach, VA 23452-2449
(757) 668-4649
(757) 668-4644

Map and Direction




Physician's Profile

Full NameTheresa E Guins
GenderFemale
SpecialityPediatrics - Pediatric Emergency Medicine
Location3960 Virginia Beach Blvd, Virginia Beach, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548212079
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395938112
  • Enrollment ID: I20101025000549

Medical Identifiers

Medical identifiers for Theresa E Guins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548212079NPI-NPPES
0016510250001MedicaidPA
006721893MedicaidVA
2002462000MedicaidWV
220531900MedicaidMD
7905361MedicaidNC
1000015893MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101052583 (Virginia)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 0101052583 (Virginia)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 E Guins allows following entities to bill medicare on her behalf.
Entity NameChildrens Specialty Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255354130
PECOS PAC ID: 5890788764
Enrollment ID: O20040406001195
Entity NameChildrens Hospital Of The Kings Daughters Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578954590
PECOS PAC ID: 0941265284
Enrollment ID: O20150623001707

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 E Guins 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 E Guins, MD
2021 Concert Dr Ste 102,
Virginia Beach, VA 23456-8082

Ph: (757) 668-4933
Theresa E Guins, MD
3960 Virginia Beach Blvd,
Virginia Beach, VA 23452-2449

Ph: (757) 668-4649

Reviews and Comments


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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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