Mrs Teresa T Dillard, PNP in Saint Louis, MO - Medicare Nurse Practitioner

Mrs Teresa T Dillard, PNP is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. Her current practice location is 3844 S Lindbergh Blvd, Ste 216, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 525-0580.

Mrs Teresa T Dillard is licensed to practice in Missouri (license number 124737) 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 1689830168.

Contact Information

	Mrs Teresa T Dillard, PNP
	3844 S Lindbergh Blvd, Ste 216, Saint Louis, MO 63127-1416
	(314) 525-0580
	(314) 525-0581

Map and Direction

Provider's Profile

Full Name	Mrs Teresa T Dillard
Gender	Female
Speciality	Nurse Practitioner
Location	3844 S Lindbergh Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689830168
Provider Enumeration Date: 08/04/2008
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7012290398
Enrollment ID: I20170210001827

Medical Identifiers

Medical identifiers for Mrs Teresa T Dillard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689830168	NPI	-	NPPES
429048309	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	124737 (Missouri)	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. Mrs Teresa T Dillard allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

Entity Name	Arch Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275014953 PECOS PAC ID: 1456605591 Enrollment ID: O20181108001740

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. Mrs Teresa T Dillard 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
Mrs Teresa T Dillard, PNP Po Box 505487, Saint Louis, MO 63150-5487 Ph: (314) 525-0580	Mrs Teresa T Dillard, PNP 3844 S Lindbergh Blvd, Ste 216, Saint Louis, MO 63127-1416 Ph: (314) 525-0580

Reviews and Comments

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Mrs Teresa T Dillard, PNP - Medicare Nurse Practitioner in Saint Louis, MO