David A Theobald, FNP in Columbus, GA - Medicare Nurse Practitioner

David A Theobald, FNP is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Georgia. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Francis Affiliated Services Llc and his current practice location is 610 19th St, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 322-7884.

David A Theobald is licensed to practice in Georgia (license number 151127) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588003859.

Contact Information

	David A Theobald, FNP
	610 19th St, Columbus, GA 31901-1528
	(706) 322-7884
	(706) 243-4356

Map and Direction

Provider's Profile

Full Name	David A Theobald
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	610 19th St, Columbus, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David A Theobald graduated from nursing school in 2013

NPI Data:

NPI Number: 1588003859
Provider Enumeration Date: 06/20/2013
Last Update Date: 05/06/2015

Medicare PECOS Information:

PECOS PAC ID: 1850535691
Enrollment ID: I20130918000457

Medical Identifiers

Medical identifiers for David A Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588003859	NPI	-	NPPES
003136829C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	151127 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis Hospital- Emory Healthcare	Columbus, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Francis Affiliated Services Llc	2567765662	21

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. David A Theobald allows following entities to bill medicare on his behalf.

Entity Name	St Francis Affiliated Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912371220 PECOS PAC ID: 2567765662 Enrollment ID: O20160125000179

Entity Name	Benning Hospitalist Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613

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. David A 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
David A Theobald, FNP Po Box 9247, Columbus, GA 31908-9247 Ph: (706) 322-7884	David A Theobald, FNP 610 19th St, Columbus, GA 31901-1528 Ph: (706) 322-7884

Reviews and Comments

Nurse Practitioner Nurses in Columbus, GA

Resa A Lord, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 17th St, Suite 107, Columbus, GA 31901 Phone: 706-571-1665 Fax: 706-660-2699
Courtni Schaaf, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 10th Ave Ste 370, Columbus, GA 31901 Phone: 706-660-2562 Fax: 706-660-2580
Ms. April Allen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4343 Warm Springs Rd Apt 2104, Columbus, GA 31909 Phone: 706-536-4775
Brandi Michelle Richards, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Whittlesey Blvd Ste A, Columbus, GA 31909 Phone: 706-321-0476
Susan Carol Wieczorek, NP-C, CWOCN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 21st St, Columbus, GA 31904 Phone: 706-321-3901 Fax: 706-321-3904
Mrs. Ann Marie Blair, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884
Mrs. Crystal Berry, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Brown Ave, Columbus, GA 31906 Phone: 678-729-7973

David A Theobald, FNP - Medicare Nurse Practitioner in Columbus, GA