Daniel R Theesfeld, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Longview, Texas. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. His current practice location is
3217 4th St, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 753-7333.
Daniel R Theesfeld is licensed to practice in Texas (license number J3712) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639120298.
Physician's Profile
| Full Name | Daniel R Theesfeld |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 33 Years |
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| Location | 3217 4th St, Longview, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel R Theesfeld graduated from medical school in 1991
NPI Data:
- NPI Number: 1639120298
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971562117
- Enrollment ID: I20041005000314
Medical Identifiers
Medical identifiers for Daniel R Theesfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639120298 | NPI | - | NPPES |
| 0046KA | Other | TX | BLUE CROSS ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | J3712 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | J3712 (Texas) | 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. Daniel R Theesfeld allows following entities to bill medicare on his behalf.
| Entity Name | H8pain Pain Management Center Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063743714
PECOS PAC ID: 9931346855
Enrollment ID: O20130514000462 |
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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. Daniel R Theesfeld 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 |
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Daniel R Theesfeld,
3217 N 4th St,
Longview, TX 75605-5145
Ph: (903) 753-7333 | Daniel R Theesfeld,
3217 4th St,
Longview, TX 75605-5145
Ph: (903) 753-7333 |
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