Thea Mauck, is a
Student In An Organized Health Care Education/training Program based in Dubuque, Iowa. Thea Mauck is licensed to practice in * (Not Available) (license number ) and her current practice location is
2000 University Ave, Dubuque, Iowa. She can be reached at her office (for appointments etc.) via phone at
(563) 589-3662.
NPI number for Thea Mauck is 1013736115 and her current mailing address is 2000 University Ave, Dubuque, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013736115.
Provider's Profile
| Full Name | Thea Mauck |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2000 University Ave, Dubuque, Iowa |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013736115
- Provider Enumeration Date: 10/07/2024
- Last Update Date: 10/22/2024
Medical Identifiers
Medical identifiers for Thea Mauck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013736115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Thea Mauck 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 |
|---|
Thea Mauck,
2000 University Ave,
Dubuque, IA 52001-5050
Ph: () - | Thea Mauck,
2000 University Ave,
Dubuque, IA 52001-5050
Ph: (563) 589-3662 |
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