Theresa Omolara Emeli, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. Her current practice location is
1120 W Michigan St Ste 630, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 278-2689.
Theresa Omolara Emeli is licensed to practice in Indiana (license number ) 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 1649911546.
Physician's Profile
Full Name | Theresa Omolara Emeli |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1120 W Michigan St Ste 630, Indianapolis, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649911546
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335528827
- Enrollment ID: I20230825000585
Medical Identifiers
Medical identifiers for Theresa Omolara Emeli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649911546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 01090836A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Indiana) | 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 Omolara Emeli allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
---|
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 Omolara Emeli 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 Omolara Emeli, MD 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 Ph: (317) 278-2689 | Theresa Omolara Emeli, MD 1120 W Michigan St Ste 630, Indianapolis, IN 46202-5209 Ph: (317) 278-2689 |
Reviews and Comments