Caryn Theobald, MD - Family Medicine in Fort Wayne, IN

Caryn Theobald, MD is a Family Medicine physician based in Fort Wayne, Indiana. Caryn Theobald is licensed to practice in Ohio (license number 35-082516) and her current practice location is 3926 New Vision Dr, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (419) 445-2015.

NPI number for Caryn Theobald is 1396781233 and her current mailing address is 442 W High St, Bryan, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396781233.

Contact Information

Caryn Theobald, MD
3926 New Vision Dr,
Fort Wayne, IN 46845-1712
(419) 445-2015
(419) 445-8102

Map and Direction




Physician's Profile

Full NameCaryn Theobald
GenderFemale
SpecialityFamily Medicine
Location3926 New Vision Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396781233
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 01/12/2017

Medical Identifiers

Medical identifiers for Caryn Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396781233NPI-NPPES
P00245754OtherOHRAILROAD
2432264MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35-082516 (Ohio)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. Caryn Theobald 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 AddressPractice Location Address
Caryn Theobald, MD
442 W High St,
Bryan, OH 43506-1681

Ph: (419) 636-4517
Caryn Theobald, MD
3926 New Vision Dr,
Fort Wayne, IN 46845-1712

Ph: (419) 445-2015

Reviews and Comments


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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.

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