Allison Mckenzie Theobald, APRN in Louisville, KY

Allison Mckenzie Theobald, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Louisville, Kentucky. Her current practice location is 6500 Preston Hwy, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 893-5502.

Allison Mckenzie Theobald is licensed to practice in Kentucky (license number 3012345) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083180905.

Contact Information

	Allison Mckenzie Theobald, APRN
	6500 Preston Hwy, Louisville, KY 40219-1820
	(502) 893-5502
	Not Available

Map and Direction

Provider's Profile

Full Name	Allison Mckenzie Theobald
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	6500 Preston Hwy, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083180905
Provider Enumeration Date: 10/18/2018
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 0941618516
Enrollment ID: I20210420001634

Medical Identifiers

Medical identifiers for Allison Mckenzie Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083180905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	3012345 (Kentucky)	Primary

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. Allison Mckenzie Theobald allows following entities to bill medicare on her behalf.

Entity Name	Norton Childrens Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457999096 PECOS PAC ID: 3779917596 Enrollment ID: O20200102000758

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. Allison Mckenzie 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
Allison Mckenzie Theobald, APRN 6500 Preston Hwy, Louisville, KY 40219-1820 Ph: () -	Allison Mckenzie Theobald, APRN 6500 Preston Hwy, Louisville, KY 40219-1820 Ph: (502) 893-5502

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Allison Mckenzie Theobald, APRN - Medicare Nurse Practitioner in Louisville, KY