Dakota Thiele, in Huntsville, AL - Medicare Nurse Practitioner

Dakota Thiele, is a medicare enrolled "Nurse Practitioner - Family" in Huntsville, Alabama. Her current practice location is 101 Sivley Rd Sw, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 265-3390.

Dakota Thiele is licensed to practice in Alabama (license number 1-140421) 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 1760195358.

Contact Information

	Dakota Thiele,
	101 Sivley Rd Sw, Huntsville, AL 35801-4470
	(256) 265-3390
	Not Available

Map and Direction

Provider's Profile

Full Name	Dakota Thiele
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Sivley Rd Sw, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760195358
Provider Enumeration Date: 12/29/2022
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2163897000
Enrollment ID: I20230407000565

Medical Identifiers

Medical identifiers for Dakota Thiele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760195358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-140421 (Alabama)	Secondary
363LF0000X	Nurse Practitioner - Family	1-140421 (Alabama)	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. Dakota Thiele allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395

Entity Name	Russellville Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780232314 PECOS PAC ID: 3476878489 Enrollment ID: O20191018002761

Entity Name	Decatur Morgan Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316571615 PECOS PAC ID: 0446680862 Enrollment ID: O20200424001929

Entity Name	Dermaccel Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992582241 PECOS PAC ID: 7618323130 Enrollment ID: O20231019001715

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. Dakota Thiele 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
Dakota Thiele, 101 Westminster Way, Madison, AL 35758-2706 Ph: (256) 601-0948	Dakota Thiele, 101 Sivley Rd Sw, Huntsville, AL 35801-4470 Ph: (256) 265-3390

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, AL

Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Lowell Dr Se Ste 1, Huntsville, AL 35801 Phone: 256-265-4462 Fax: 256-265-4463
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000
Kayla Hebert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635

Dakota Thiele, - Medicare Nurse Practitioner in Huntsville, AL