Mrs Tara H Theisen, DC in Freeport, IL - Medicare Chiropractor Provider

Mrs Tara H Theisen, DC is a medicare enrolled "Chiropractor" provider in Freeport, Illinois. Her current practice location is 1019 W Galena Ave, Freeport, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 232-2225.

Mrs Tara H Theisen is licensed to practice in Illinois (license number 038-008632) 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 1356302756.

Contact Information

	Mrs Tara H Theisen, DC
	1019 W Galena Ave, Freeport, IL 61032-3819
	(815) 232-2225
	(815) 233-2571

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tara H Theisen
Gender	Female
Speciality	Chiropractor
Location	1019 W Galena Ave, Freeport, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356302756
Provider Enumeration Date: 03/28/2006
Last Update Date: 08/07/2015

Medicare PECOS Information:

PECOS PAC ID: 9335318120
Enrollment ID: I20110812000052

Medical Identifiers

Medical identifiers for Mrs Tara H Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356302756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	038-008632 (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. Mrs Tara H Theisen allows following entities to bill medicare on her behalf.

Provider Name	David Low Back Center Dc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346376241 PECOS PAC ID: 2062473325 Enrollment ID: O20041020001238

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 Tara H Theisen 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 Tara H Theisen, DC 1019 W Galena Ave, Freeport, IL 61032-3819 Ph: (815) 232-2225	Mrs Tara H Theisen, DC 1019 W Galena Ave, Freeport, IL 61032-3819 Ph: (815) 232-2225

Reviews and Comments

Chiropractor in Freeport, IL

Dr. Julie J Smith, D.N. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 W. Meadows Dr., Freeport, IL 61032 Phone: 815-297-0889 Fax: 847-239-7471
Aih Complementary Medicine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 W Meadows Dr., Freeport, IL 61032 Phone: 815-297-0889 Fax: 847-239-7471
Hulsebus Chiropractic Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 630 Terra West Dr, Freeport, IL 61032 Phone: 815-235-7858 Fax: 815-235-7913
Olivia Louise Pehl, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 640 W South St, Suite 1, Freeport, IL 61032 Phone: 815-235-2301 Fax: 815-297-8431
Jon P Flynn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1542 S Oak Ave, Freeport, IL 61032 Phone: 815-291-7743
Jacob Dale Wookey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Terra West Dr, Freeport, IL 61032 Phone: 815-235-7858 Fax: 815-235-7913
Dr. Stephanie Marie Rosenthal, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1019 W Galena Ave, Freeport, IL 61032 Phone: 815-232-2225 Fax: 815-233-2571

Mrs Tara H Theisen, DC - Medicare Chiropractor in Freeport, IL