Dr Ryan Frederick Theen, DC, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" provider in Manchester, Missouri. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1639424716
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 10/28/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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| 111N00000X | Chiropractor | 08002660A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209021715 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2020028106 (Missouri) | Primary |
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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