Ms Theresa Maria Detomaso, LPN is a
Licensed Practical Nurse based in Fort Recovery, Ohio. Ms Theresa Maria Detomaso is licensed to practice in Ohio (license number PN130615IV) and her current practice location is
806 Blue Jacket Dr, Apt. B, Fort Recovery, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 953-7730.
NPI number for Ms Theresa Maria Detomaso is 1164756649 and her current mailing address is Po Box 645, Fort Recovery, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164756649.
Provider's Profile
| Full Name | Ms Theresa Maria Detomaso |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 806 Blue Jacket Dr, Fort Recovery, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164756649
- Provider Enumeration Date: 09/30/2009
- Last Update Date: 09/30/2009
Medical Identifiers
Medical identifiers for Ms Theresa Maria Detomaso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164756649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN130615IV (Ohio) | 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 Maria Detomaso 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 Maria Detomaso, LPN
Po Box 645,
Fort Recovery, OH 45846-0645
Ph: (419) 953-7730 | Ms Theresa Maria Detomaso, LPN
806 Blue Jacket Dr, Apt. B,
Fort Recovery, OH 45846-0645
Ph: (419) 953-7730 |
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