Michelle L Theobald, PA-C - Medicare Physician Assistant in Edina, MN

Michelle L Theobald, PA-C is a medicare enrolled "Family Medicine" physician in Edina, Minnesota. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Park Nicollet Clinic and her current practice location is 6405 France Ave S # Sw200, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 915-5482.

Michelle L Theobald is licensed to practice in Minnesota (license number 9833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912981341.

Contact Information

Michelle L Theobald, PA-C
6405 France Ave S # Sw200,
Edina, MN 55435-2163
(952) 915-5482
Not Available

Map and Direction




Physician's Profile

Full NameMichelle L Theobald
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location6405 France Ave S # Sw200, Edina, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle L Theobald graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1912981341
  • Provider Enumeration Date: 11/30/2005
  • Last Update Date: 10/25/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3375539752
  • Enrollment ID: I20040421001502

Medical Identifiers

Medical identifiers for Michelle L Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912981341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 9833 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital
Glencoe Regional Health ServicesGlencoe, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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. Michelle L 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 AddressPractice Location Address
Michelle L Theobald, PA-C
845 Ramsey Ave,
Carver, MN 55315-4515

Ph: (952) 679-4280
Michelle L Theobald, PA-C
6405 France Ave S # Sw200,
Edina, MN 55435-2163

Ph: (952) 915-5482

Reviews and Comments


Family Medicine Doctors in Edina, MN

Michael Jerome Pane, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7600 France Ave S Ste 4100, Edina, MN 55435
Phone: 952-831-1551    Fax: 952-831-0725
Ruth Sumana Potta, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5016 Kent Ave, Edina, MN 55436
Phone: 952-381-7177    
Amy S Daleiden, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7600 France Ave S Ste 4200, Edina, MN 55435
Phone: 524-281-4009    Fax: 952-428-1404
Mary M Figueroa, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6363 France Ave S, Suite 525, Edina, MN 55435
Phone: 952-926-6489    Fax: 952-926-6501
Stephen D. Meade, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5301 Vernon Ave S, Edina, MN 55436
Phone: 952-925-2200    
Dr. Molly B Gruber, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5301 Vernon Ave S, Edina, MN 55436
Phone: 952-925-2200    
Dr. Jolene Kay Berg, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 308 Dearborn Court, Edina, MN 55343
Phone: 612-718-8984    Fax: 210-426-3787

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.