Dr Ryan Frederick Theen, DC, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Manchester, Missouri. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Total Access Urgent Care Pc and his current practice location is
13861 Manchester Rd, Manchester, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 220-9333.
Dr Ryan Frederick Theen is licensed to practice in Missouri (license number 2020028106) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639424716.
Healthcare Provider's Profile
| Full Name | Dr Ryan Frederick Theen |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 13861 Manchester Rd, Manchester, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ryan Frederick Theen graduated from medical school in 2020
NPI Data:
- NPI Number: 1639424716
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446665756
- Enrollment ID: I20210219000197
Medical Identifiers
Medical identifiers for Dr Ryan Frederick Theen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639424716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 08002660A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209021715 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2020028106 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Total Access Urgent Care Pc | 8820171929 | 107 |
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. Dr Ryan Frederick Theen 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 |
|---|
Dr Ryan Frederick Theen, DC, MSN, APRN, FNP-C
13861 Manchester Rd,
Manchester, MO 63011-4503
Ph: (618) 444-8099 | Dr Ryan Frederick Theen, DC, MSN, APRN, FNP-C
13861 Manchester Rd,
Manchester, MO 63011-4503
Ph: (636) 220-9333 |
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