Dr Richard W Theobald, MD in Two Rivers, WI - Medicare Internal Medicine

Dr Richard W Theobald, MD is a medicare enrolled "Internal Medicine" physician in Two Rivers, Wisconsin. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 5300 Memorial Dr, Two Rivers, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 793-7300.

Dr Richard W Theobald is licensed to practice in Wisconsin (license number 25728) 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 1952418063.

Contact Information

	Dr Richard W Theobald, MD
	5300 Memorial Dr, Two Rivers, WI 54241-3923
	(920) 793-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Richard W Theobald
Gender	Male
Speciality	Internal Medicine
Experience	42 Years
Location	5300 Memorial Dr, Two Rivers, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Richard W Theobald attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1982

NPI Data:

NPI Number: 1952418063
Provider Enumeration Date: 08/24/2006
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2860522422
Enrollment ID: I20100609000370

Medical Identifiers

Medical identifiers for Dr Richard W Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952418063	NPI	-	NPPES
30645900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25728 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Green bay, WI	Home health agency
Homecare Health Services Hospice	Manitowoc, WI	Hospice
Aurora At Home	Green bay, WI	Hospice
Aurora Medical Ctr Manitowoc County	Two rivers, WI	Hospital
Holy Family Memorial	Manitowoc, WI	Hospital
Shady Lane Nursing Care Center	Manitowoc, WI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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 Richard W Theobald allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Aurora Health Care North Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477508687 PECOS PAC ID: 9436067402 Enrollment ID: O20040211000368

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 Richard W Theobald 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 Richard W Theobald, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Dr Richard W Theobald, MD 5300 Memorial Dr, Two Rivers, WI 54241-3923 Ph: (920) 793-7300

Reviews and Comments

Internal Medicine Doctors in Two Rivers, WI

Dr. Cedric V Thayer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281 Fax: 920-794-7553
Brian P Laliberte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2219 Garfield St, Two Rivers, WI 54241 Phone: 920-793-2281
Samuel Quinn Ballard, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 Lakefront Way, Two Rivers, WI 54241 Phone: 920-320-2436
Andrew W Yetter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Memorial Dr, Two Rivers, WI 54241 Phone: 920-793-7300
Dr. Dale Edwin Asche, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 17th St, Two Rivers, WI 54241 Phone: 920-242-7202
Dr. Barbara J Gonzales, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000
Ganna V Oosting, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5000 Memorial Dr, Two Rivers, WI 54241 Phone: 920-794-5000

Dr Richard W Theobald, MD - Medicare Internal Medicine in Two Rivers, WI