Mary Elsa Theobald, NP - Medicare Nurse Practitioner in Brooks, ME

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Mary Elsa Theobald, NP is a medicare enrolled "Nurse Practitioner" in Brooks, Maine. Her current practice location is 55 Reynolds Road, Brooks, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 722-3488.

Mary Elsa Theobald is licensed to practice in Maine (license number R030807) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356418685.

Contact Information

Mary Elsa Theobald, NP
55 Reynolds Road,
Brooks, ME 04915
(207) 722-3488
(207) 722-3183

Map and Direction




Provider's Profile

Full NameMary Elsa Theobald
GenderFemale
SpecialityNurse Practitioner
Location55 Reynolds Road, Brooks, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356418685
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254305188
  • Enrollment ID: I20040825000591

Medical Identifiers

Medical identifiers for Mary Elsa Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356418685NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R030807 (Maine)Primary

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 Elsa Theobald allows following entities to bill medicare on her behalf.
Entity NameWaldo County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841397932
PECOS PAC ID: 2163332883
Enrollment ID: O20040428001058
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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 Elsa 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 AddressPractice Location Address
Mary Elsa Theobald, NP
Po Box 159,
Brooks, ME 04921-0159

Ph: (207) 722-3488		Mary Elsa Theobald, NP
55 Reynolds Road,
Brooks, ME 04915

Ph: (207) 722-3488

Reviews and Comments


Nurse Practitioner Nurses in Brooks, ME

Julia Ann Mushrall, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 55 Reynolds Rd, Brooks, ME 04921
Phone: 207-722-3488    
Ronald E. Cormier, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 55 Reynolds Road, Brooks, ME 04921
Phone: 207-722-3488    Fax: 207-722-3183

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.