Nicholas J Theobald, CRNA in Sacramento, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Nicholas J Theobald, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sacramento, California. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Banner Lassen Medical Center and his current practice location is 6600 Bruceville Rd, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 688-2000.

Nicholas J Theobald is licensed to practice in California (license number 4155) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205102522.

Contact Information

	Nicholas J Theobald, CRNA
	6600 Bruceville Rd, Sacramento, CA 95823-4671
	(916) 688-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas J Theobald
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	6600 Bruceville Rd, Sacramento, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas J Theobald graduated from nursing school in 2009

NPI Data:

NPI Number: 1205102522
Provider Enumeration Date: 03/30/2012
Last Update Date: 03/30/2012

Medicare PECOS Information:

PECOS PAC ID: 5597927160
Enrollment ID: I20120426000300

Medical Identifiers

Medical identifiers for Nicholas J Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205102522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4155 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Lassen Medical Center	Susanville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Lassen Medical Center	2961312640	5

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. Nicholas J Theobald allows following entities to bill medicare on his behalf.

Entity Name	Banner Lassen Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538197231 PECOS PAC ID: 2961312640 Enrollment ID: O20040126000635

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. Nicholas J 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
Nicholas J Theobald, CRNA 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: () -	Nicholas J Theobald, CRNA 6600 Bruceville Rd, Sacramento, CA 95823-4671 Ph: (916) 688-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sacramento, CA

Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Ms. Tricia D. Ouchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-5032

Nicholas J Theobald, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sacramento, CA