Darla R Theobald, NP | |
1025 Marsh St, Mankato, MN 56001-4752 | |
(507) 625-4031 | |
Not Available |
Full Name | Darla R Theobald |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 35 Years |
Location | 1025 Marsh St, Mankato, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043293657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R1159484 (Minnesota) | Secondary |
363L00000X | Nurse Practitioner | 1113 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
Mayo Clinic Health System-new Prague | New prague, MN | Hospital |
Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
Mayo Clinic Health System - St James | St james, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 528 |
Mayo Clinic Health System-fairmont | 4981694981 | 135 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
Entity Name | Mayo Clinic Health System-fairmont |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
Mailing Address | Practice Location Address |
---|---|
Darla R Theobald, NP 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 | Darla R Theobald, NP 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Cassy Kay Burton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Madison Ave Ste 352, Mankato, MN 56001 Phone: 507-387-3195 | |
Elizabeth Cumberland, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Omar G Ferrer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Laura Renee Fisher, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Mrs. Season Marie Hoffman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 | |
Danielle Wendinger, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 E Main St, Mankato, MN 56001 Phone: 507-625-1811 |