Amy Patricia Theall, PMHNP-BC - Medicare Nurse Practitioner in Lakeview, OR

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Amy Patricia Theall, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakeview, Oregon. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Health District, C Scott Graham Do Pc and her current practice location is 700 S J St, Lakeview, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 947-2114.

Amy Patricia Theall is licensed to practice in Oregon (license number 2020167949) 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 1912461088.

Contact Information

Amy Patricia Theall, PMHNP-BC
700 S J St,
Lakeview, OR 97630-1623
(541) 947-2114
Not Available

Map and Direction




Provider's Profile

Full NameAmy Patricia Theall
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location700 S J St, Lakeview, Oregon
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:
  • Amy Patricia Theall graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1912461088
  • Provider Enumeration Date: 01/23/2019
  • Last Update Date: 06/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133524275
  • Enrollment ID: I20210826003790

Medical Identifiers

Medical identifiers for Amy Patricia Theall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912461088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2020167949 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake District HospitalLakeview, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Health District428462922123
C Scott Graham Do Pc63059490583

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. Amy Patricia Theall allows following entities to bill medicare on her behalf.
Entity NameLake Health District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376698522
PECOS PAC ID: 4284629221
Enrollment ID: O20040419000549

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. Amy Patricia Theall 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
Amy Patricia Theall, PMHNP-BC
501 S G St,
Lakeview, OR 97630-1827

Ph: (414) 507-6218		Amy Patricia Theall, PMHNP-BC
700 S J St,
Lakeview, OR 97630-1623

Ph: (541) 947-2114

Reviews and Comments


Nurse Practitioner Nurses in Lakeview, OR

Mrs. Lesa L Cahill, FNP
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Practice Location: 620 S J St, Lakeview, OR 97630
Phone: 541-947-2331    Fax: 541-947-4854
Mickie Lynn Gocken, AGNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 18631 Lake Ridge Rd, Lakeview, OR 97630
Phone: 320-241-5465    
Amanda Johnson,
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Practice Location: 733 N 1st St, Lakeview, OR 97630
Phone: 541-600-2535    
Rosanne Fitzgerald, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 S J St, Lake Health Clinic, Lakeview, OR 97630
Phone: 541-947-8113    Fax: 541-947-8109

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.