Dr Anthony Russell Theile, DO in Columbus, OH

Dr Anthony Russell Theile, DO is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Columbus, Ohio. His current practice location is 111 S Grant Ave, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 566-9000.

Dr Anthony Russell Theile is licensed to practice in Ohio (license number 34.010115) 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 1689700791.

Contact Information

	Dr Anthony Russell Theile, DO
	111 S Grant Ave, Columbus, OH 43215-4701
	(614) 566-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Anthony Russell Theile
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	111 S Grant Ave, Columbus, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689700791
Provider Enumeration Date: 02/25/2007
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 6901979673
Enrollment ID: I20210715002322

Medical Identifiers

Medical identifiers for Dr Anthony Russell Theile such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689700791	NPI	-	NPPES
0326137	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	34.010115 (Ohio)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	34.010115 (Ohio)	Primary
208000000X	Pediatrics	34.010115 (Ohio)	Secondary

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. Dr Anthony Russell Theile allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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. Dr Anthony Russell Theile 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
Dr Anthony Russell Theile, DO 285 E State St, Suite 520, Columbus, OH 43215-4354 Ph: (614) 566-9683	Dr Anthony Russell Theile, DO 111 S Grant Ave, Columbus, OH 43215-4701 Ph: (614) 566-9000

Reviews and Comments

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Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541

Dr Anthony Russell Theile, DO - Medicare Pediatrics in Columbus, OH