Dawn D Theilen, ARNP | |
1000 4th St Sw, Mason City, IA 50401-2800 | |
(641) 428-6300 | |
(641) 428-6374 |
Full Name | Dawn D Theilen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1000 4th St Sw, Mason City, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386600179 | NPI | - | NPPES |
0057026 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F089892 (Iowa) | Primary |
Entity Name | Prairie Ridge Integrated Behavioral Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952443632 PECOS PAC ID: 6800169194 Enrollment ID: O20170908000404 |
Mailing Address | Practice Location Address |
---|---|
Dawn D Theilen, ARNP 621 S Illinois Ave Ste 103, Mason City, IA 50401-5489 Ph: (641) 428-3041 | Dawn D Theilen, ARNP 1000 4th St Sw, Mason City, IA 50401-2800 Ph: (641) 428-6300 |
Carrie Potter, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 N Eisenhower Ave, Mason City, IA 50401 Phone: 641-428-7000 | |
Victoria Lee Stromer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1631 4th St Sw, Mason City, IA 50401 Phone: 641-428-6000 Fax: 641-428-6007 | |
Lisa Holt, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 S Crescent Dr, Mason City, IA 50401 Phone: 641-494-5170 Fax: 641-494-5175 | |
Ashley Matern, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 641-428-6999 Fax: 641-428-6678 | |
Trisha Lynn Tibbitts, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1631 4th St Sw # 114b, Mason City, IA 50401 Phone: 641-243-4593 | |
Alex Scott Farrell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 641-428-7234 Fax: 641-428-6373 | |
Tara Eisenlohr, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 1st St Nw Ste 200, Mason City, IA 50401 Phone: 641-423-5044 Fax: 641-423-0994 |