Mary Amanda Theiss, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fair Oaks Ranch, Texas. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Community Medicine Associates and her current practice location is
8434 Raintree Woods Dr, Fair Oaks Ranch, Texas. You can reach out to her office (for appointments etc.) via phone at
(318) 376-3819.
Mary Amanda Theiss is licensed to practice in Texas (license number 1030889) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215536586.
Provider's Profile
Full Name | Mary Amanda Theiss |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 4 Years |
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Location | 8434 Raintree Woods Dr, Fair Oaks Ranch, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mary Amanda Theiss graduated from nursing school in 2020
NPI Data:
- NPI Number: 1215536586
- Provider Enumeration Date: 10/19/2020
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042626871
- Enrollment ID: I20210303000362
Medical Identifiers
Medical identifiers for Mary Amanda Theiss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215536586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 879598 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1030889 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Community Medicine Associates | 7719979509 | 397 |
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. Mary Amanda Theiss allows following entities to bill medicare on her behalf.
Entity Name | Community Medicine Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372 |
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Entity Name | University Of Texas Health Science Center At San Antonio |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
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Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
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Entity Name | Emergenchealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
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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. Mary Amanda Theiss 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 |
Mary Amanda Theiss, 8434 Raintree Woods Dr, Fair Oaks Ranch, TX 78015-4437 Ph: (318) 376-3819 | Mary Amanda Theiss, 8434 Raintree Woods Dr, Fair Oaks Ranch, TX 78015-4437 Ph: (318) 376-3819 |
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