Mr Christopher D Theobald, FNP in Saranac Lake, NY

Mr Christopher D Theobald, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saranac Lake, New York. His current practice location is 2233 State Route 86, Saranac Lake, New York. You can reach out to his office (for appointments etc.) via phone at (518) 891-4141.

Mr Christopher D Theobald is licensed to practice in New York (license number 349696) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174253231.

Contact Information

	Mr Christopher D Theobald, FNP
	2233 State Route 86, Saranac Lake, NY 12983-5644
	(518) 891-4141
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Christopher D Theobald
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2233 State Route 86, Saranac Lake, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174253231
Provider Enumeration Date: 06/13/2022
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8426428814
Enrollment ID: I20221229000809

Medical Identifiers

Medical identifiers for Mr Christopher D Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174253231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	349696 (New York)	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. Mr Christopher D Theobald allows following entities to bill medicare on his behalf.

Entity Name	Adirondack Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245446533 PECOS PAC ID: 9638081284 Enrollment ID: O20031103000224

Entity Name	Adirondack Medical Center
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1487183174 PECOS PAC ID: 9638081284 Enrollment ID: O20170823002656

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. Mr Christopher D 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
Mr Christopher D Theobald, FNP 2233 State Route 86, Saranac Lake, NY 12983-5644 Ph: () -	Mr Christopher D Theobald, FNP 2233 State Route 86, Saranac Lake, NY 12983-5644 Ph: (518) 891-4141

Reviews and Comments

Nurse Practitioner Nurses in Saranac Lake, NY

Lara Niles, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-891-4141
Patricia Ann Randolph-clark, RN, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Woodruff St, Saranac Lake, NY 12983 Phone: 518-891-5484 Fax: 518-891-5484
Marijke B Ormel, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2233 State Route 86, Saranac Lake, NY 12983 Phone: 518-891-4141 Fax: 518-897-2788
Mrs. Jaclyn A Farrington, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2249 Ny-86, Suite 3, Saranac Lake, NY 12983 Phone: 518-891-3845
Ms. Deborah P Marshall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 County Route 47, Saranac Lake, NY 12983 Phone: 518-891-2688
Ms. Mary Levitz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 285 County Route 47, Saranac Lake Health Center, Saranac Lake, NY 12983 Phone: 518-897-2850 Fax: 518-897-2605

Mr Christopher D Theobald, FNP - Medicare Nurse Practitioner in Saranac Lake, NY