Theresa Mary Zeman, GNP-BC, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rushford, Minnesota. Her current practice location is
30790 Zephyr Valley Ln, Rushford, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 330-2151.
Theresa Mary Zeman is licensed to practice in Minnesota (license number CNP0410) 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 1184860629.
Provider's Profile
Full Name | Theresa Mary Zeman |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 30790 Zephyr Valley Ln, Rushford, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184860629
- Provider Enumeration Date: 01/06/2009
- Last Update Date: 04/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 6800953829
- Enrollment ID: I20090318000678
Medical Identifiers
Medical identifiers for Theresa Mary Zeman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184860629 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | R112785-6 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | R1127856 (Minnesota) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP0410 (Minnesota) | 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 Mary Zeman allows following entities to bill medicare on her behalf.
Entity Name | Custom Clinic, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699859124 PECOS PAC ID: 2961506860 Enrollment ID: O20070403000140 |
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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 Mary Zeman 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 Mary Zeman, GNP-BC, PMHNP-BC 30790 Zephyr Valley Ln, Rushford, MN 55971-4211 Ph: (507) 330-2151 | Theresa Mary Zeman, GNP-BC, PMHNP-BC 30790 Zephyr Valley Ln, Rushford, MN 55971-4211 Ph: (507) 330-2151 |
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