Daniel Joseph Theriault, RN, HS is a
Military Health Care Provider - Independent Duty Corpsman based in Cleveland, Ohio. Daniel Joseph Theriault is licensed to practice in * (Not Available) (license number ) and his current practice location is
1240 E 9th St Ste 2693, Cleveland, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 902-6260.
NPI number for Daniel Joseph Theriault is 1427715242 and his current mailing address is 1240 E 9th St Ste 2693, Cleveland, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427715242.
Provider's Profile
| Full Name | Daniel Joseph Theriault |
|---|
| Gender | Male |
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| Speciality | Military Health Care Provider - Independent Duty Corpsman |
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| Location | 1240 E 9th St Ste 2693, Cleveland, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427715242
- Provider Enumeration Date: 11/29/2021
- Last Update Date: 07/09/2024
Medical Identifiers
Medical identifiers for Daniel Joseph Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427715242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 486357 (Ohio) | Secondary |
| 1710I1002X | Military Health Care Provider - Independent Duty Corpsman | (* (Not Available)) | Primary |
| 146M00000X | Emergency Medical Technician, Intermediate | A001682 (* (Not Available)) | Secondary |
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. Daniel Joseph Theriault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daniel Joseph Theriault, RN, HS
1240 E 9th St Ste 2693,
Cleveland, OH 44199-2061
Ph: (216) 902-6260 | Daniel Joseph Theriault, RN, HS
1240 E 9th St Ste 2693,
Cleveland, OH 44199-2061
Ph: (216) 902-6260 |
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