Mr Timothy Mcmichael Theisen, DMD - Medicare Dentist in Erie, PA

Mr Timothy Mcmichael Theisen, DMD is a medicare enrolled "Dentist" provider in Erie, Pennsylvania. His current practice location is 4330 Peach St, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 315-6209.

Mr Timothy Mcmichael Theisen is licensed to practice in Pennsylvania (license number DS038461) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003259797.

Contact Information

Mr Timothy Mcmichael Theisen, DMD
4330 Peach St,
Erie, PA 16509-1443
(814) 315-6209
(814) 315-6303

Map and Direction




Healthcare Provider's Profile

Full NameMr Timothy Mcmichael Theisen
GenderMale
SpecialityDentist
Location4330 Peach St, Erie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003259797
  • Provider Enumeration Date: 04/11/2013
  • Last Update Date: 08/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991013120
  • Enrollment ID: I20151007002106

Medical Identifiers

Medical identifiers for Mr Timothy Mcmichael Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003259797NPI-NPPES
056582OtherNYNYS LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS038461 (Pennsylvania)Secondary
1223E0200XDentist - Endodontics DS038461 (Pennsylvania)Secondary
1223P0221XDentist - Pediatric Dentistry DS038461 (Pennsylvania)Secondary
1223P0700XDentist - Prosthodontics DS038461 (Pennsylvania)Secondary
122300000XDentist DS038461 (Pennsylvania)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. Mr Timothy Mcmichael 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 AddressPractice Location Address
Mr Timothy Mcmichael Theisen, DMD
4330 Peach St,
Erie, PA 16509-1443

Ph: (814) 315-6209
Mr Timothy Mcmichael Theisen, DMD
4330 Peach St,
Erie, PA 16509-1443

Ph: (814) 315-6209

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.