Theresa Kauth, - Medicare Nurse Practitioner in Bloomington, IL

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Theresa Kauth, is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Illinois. Her current practice location is 108 W Market St, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 827-5351.

Theresa Kauth is licensed to practice in Illinois (license number 209.011910) 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 1003211012.

Contact Information

Theresa Kauth,
108 W Market St,
Bloomington, IL 61701-3918
(309) 827-5351
(309) 829-6808

Map and Direction




Provider's Profile

Full NameTheresa Kauth
GenderFemale
SpecialityNurse Practitioner - Family
Location108 W Market St, Bloomington, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003211012
  • Provider Enumeration Date: 11/03/2014
  • Last Update Date: 05/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3476877853
  • Enrollment ID: I20150112002107

Medical Identifiers

Medical identifiers for Theresa Kauth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003211012NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.011910 (Illinois)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 Kauth allows following entities to bill medicare on her behalf.
Entity NameMclean County Center For Human Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245233493
PECOS PAC ID: 5991752784
Enrollment ID: O20050404000973
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180301000229

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 Kauth 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 Kauth,
108 W Market St,
Bloomington, IL 61701-3918

Ph: (309) 827-5351		Theresa Kauth,
108 W Market St,
Bloomington, IL 61701-3918

Ph: (309) 827-5351

Reviews and Comments


Nurse Practitioner Nurses in Bloomington, IL

Cheryl Hansen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3024 E Empire St, Bloomington, IL 61704
Phone: 309-454-4411    
Carey Harris,
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Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3000    Fax: 309-664-3026
Elizabeth Jeanne Robert, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704
Phone: 309-556-7800    Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N.
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Medicare: Not Enrolled in Medicare
Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701
Phone: 309-827-4014    Fax: 309-828-6626
Amy O'brien, FNP
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Medicare: Medicare Enrolled
Practice Location: 1401 Eastland Dr, Bloomington, IL 61701
Phone: 309-661-3360    Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1701 E College Ave, Bloomington, IL 61704
Phone: 309-664-3800    

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.