Dr Gary W Theall, MD is a
Surgery physician based in Warwick, New York. Dr Gary W Theall is licensed to practice in New York (license number 1817741) and his current practice location is 55 Ronald Reagan Blvd, Warwick, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 986-4949.
NPI number for Dr Gary W Theall is 1982697611 and his current mailing address is Po Box 350, Warwick, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982697611.
Physician's Profile
| Full Name | Dr Gary W Theall |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 55 Ronald Reagan Blvd, Warwick, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982697611
- Provider Enumeration Date: 08/29/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Gary W Theall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982697611 | NPI | - | NPPES |
| 01184569 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 1817741 (New York) | 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. Dr Gary W Theall 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 |
|---|
Dr Gary W Theall, MD
Po Box 350,
Warwick, NY 10990-0350
Ph: (845) 986-4949 | Dr Gary W Theall, MD
55 Ronald Reagan Blvd,
Warwick, NY 10990-4105
Ph: (845) 986-4949 |
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