Mr Michael George Theele, CRNA is a
Nurse Anesthetist, Certified Registered based in Albany, Kentucky. Mr Michael George Theele is licensed to practice in Kentucky (license number 1059523) and his current practice location is
723 Burkesville Hwy, Albany, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(865) 777-0909.
NPI number for Mr Michael George Theele is 1083695522 and his current mailing address is 12752 Kingston Pike, Ste E202, Knoxville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083695522.
Provider's Profile
Full Name | Mr Michael George Theele |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 723 Burkesville Hwy, Albany, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083695522
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 01/11/2011
Medical Identifiers
Medical identifiers for Mr Michael George Theele such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083695522 | NPI | - | NPPES |
000000350186 | Other | KY | BLUE CROSS/BLUE SHIELD |
74110214 | Medicaid | KY | |
P00408377 | Other | KY | RAILROAD MEDICARE PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1059523 (Kentucky) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 1102A (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10643 (Tennessee) | Secondary |
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 Michael George Theele is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael George Theele, CRNA 12752 Kingston Pike, Ste E202, Knoxville, TN 37934-0948 Ph: (865) 777-0909 | Mr Michael George Theele, CRNA 723 Burkesville Hwy, Albany, KY 42602-1654 Ph: (865) 777-0909 |
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