Ms Mackenzie Kaylen Theis, MSW is a
Student In An Organized Health Care Education/training Program based in Nevada City, California. Ms Mackenzie Kaylen Theis is licensed to practice in * (Not Available) (license number ) and her current practice location is
24077 State Highway 49, Nevada City, California. She can be reached at her office (for appointments etc.) via phone at
(530) 265-9057.
NPI number for Ms Mackenzie Kaylen Theis is 1457898041 and her current mailing address is 24077 State Highway 49, Nevada City, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457898041.
Healthcare Provider's Profile
| Full Name | Ms Mackenzie Kaylen Theis |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 24077 State Highway 49, Nevada City, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457898041
- Provider Enumeration Date: 01/20/2017
- Last Update Date: 08/23/2023
Medical Identifiers
Medical identifiers for Ms Mackenzie Kaylen Theis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457898041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Ms Mackenzie Kaylen Theis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Mackenzie Kaylen Theis, MSW
24077 State Highway 49,
Nevada City, CA 95959-8519
Ph: (530) 265-9057 | Ms Mackenzie Kaylen Theis, MSW
24077 State Highway 49,
Nevada City, CA 95959-8519
Ph: (530) 265-9057 |
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