Ms Theresa Lynn Crowder, PAC is a
Physician Assistant based in Milford, Illinois. Ms Theresa Lynn Crowder is licensed to practice in Illinois (license number 85002866) and her current practice location is
207 N Axtel Ave, Milford, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 889-4241.
NPI number for Ms Theresa Lynn Crowder is 1619961737 and her current mailing address is 309 S James St, Goodland, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619961737.
Provider's Profile
| Full Name | Ms Theresa Lynn Crowder |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 207 N Axtel Ave, Milford, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619961737
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Theresa Lynn Crowder such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619961737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 5601003575 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 85002866 (Illinois) | Primary |
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. Ms Theresa Lynn Crowder 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 |
|---|
Ms Theresa Lynn Crowder, PAC
309 S James St,
Goodland, IN 47948-8124
Ph: (517) 425-9427 | Ms Theresa Lynn Crowder, PAC
207 N Axtel Ave,
Milford, IL 60953-1003
Ph: (815) 889-4241 |
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