Dr Michael Robert Theerman, MD is a
Internal Medicine physician based in West Boylston, Massachusetts. Dr Michael Robert Theerman is licensed to practice in Massachusetts (license number 38111) and his current practice location is 46 Central St, West Boylston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(508) 835-3934.
NPI number for Dr Michael Robert Theerman is 1467426080 and his current mailing address is 201 Salisbury St, Worcester, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467426080.
Physician's Profile
| Full Name | Dr Michael Robert Theerman |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
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| Location | 46 Central St, West Boylston, Massachusetts |
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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: 1467426080
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 07/05/2012
Medical Identifiers
Medical identifiers for Dr Michael Robert Theerman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467426080 | NPI | - | NPPES |
| E21017 | Other | MA | BLUE CROSS |
| 23518 | Other | MA | CIGNA |
| 64765 | Other | MA | HARVARD-PILGRIM HEALTHCAR |
| 4977 | Other | MA | FALLON HEALTH PLAN |
| 0180629 | Medicaid | MA | |
| 712458 | Other | MA | TUFTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 38111 (Massachusetts) | 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 Michael Robert Theerman 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 Michael Robert Theerman, MD
201 Salisbury St,
Worcester, MA 01609-1640
Ph: (508) 755-7830 | Dr Michael Robert Theerman, MD
46 Central St,
West Boylston, MA 01583-1653
Ph: (508) 835-3934 |
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