Jeremy Theisen, MD - Medicare in Ponca City, OK

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Jeremy Theisen, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Ponca City, Oklahoma. His current practice location is 1900 N 14th St, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 765-0575.

Jeremy Theisen is licensed to practice in Oklahoma (license number 29296) 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 1881954501.

Contact Information

Jeremy Theisen, MD
1900 N 14th St,
Ponca City, OK 74601-2035
(580) 765-0575
Not Available

Map and Direction




Physician's Profile

Full NameJeremy Theisen
GenderMale
Speciality
Experience Years
Location1900 N 14th St, Ponca City, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeremy Theisen attended and graduated from in
  NPI Data:
  • NPI Number: 1881954501
  • Provider Enumeration Date: 05/29/2012
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Jeremy Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881954501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 29296 (Oklahoma)Secondary
2085R0202XRadiology - Diagnostic Radiology MD-23144 (Hawaii)Secondary
2085R0202XRadiology - Diagnostic Radiology 29296 (Oklahoma)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. Jeremy Theisen 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 AddressPractice Location Address
Jeremy Theisen, MD
1900 N 14th St,
Ponca City, OK 74601-2035

Ph: (580) 765-0575		Jeremy Theisen, MD
1900 N 14th St,
Ponca City, OK 74601-2035

Ph: (580) 765-0575

Reviews and Comments


Radiology Doctors in Ponca City, OK


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.