Theresa Grass, is a
Psychologist based in Pittsburg, Kansas. Theresa Grass is licensed to practice in Kansas (license number 2657) and her current practice location is
3011 N Michigan St, Pittsburg, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 231-9873.
NPI number for Theresa Grass is 1770974644 and her current mailing address is Po Box 1832, Pittsburg, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770974644.
Healthcare Provider's Profile
| Full Name | Theresa Grass |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
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| Location | 3011 N Michigan St, Pittsburg, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770974644
- Provider Enumeration Date: 02/12/2015
- Last Update Date: 05/11/2022
Medical Identifiers
Medical identifiers for Theresa Grass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770974644 | NPI | - | NPPES |
| 100240930A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 2593 (Kansas) | Secondary |
| 103T00000X | Psychologist | 2657 (Kansas) | 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. Theresa Grass 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 |
|---|
Theresa Grass,
Po Box 1832,
Pittsburg, KS 66762-1832
Ph: (620) 231-9873 | Theresa Grass,
3011 N Michigan St,
Pittsburg, KS 66762-2546
Ph: (620) 231-9873 |
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