Ashley P Theobald, PA-C is a medicare enrolled "Physician Assistant" provider in Greenville, South Carolina. Her current practice location is
2 Roper Corners Cir, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 234-7815.
Ashley P Theobald is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780086488.
Healthcare Provider's Profile
Full Name | Ashley P Theobald |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 2 Roper Corners Cir, Greenville, South Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780086488
- Provider Enumeration Date: 09/24/2014
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587908405
- Enrollment ID: I20220502000134
Medical Identifiers
Medical identifiers for Ashley P Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780086488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 10184 (Tennessee) | Secondary |
363A00000X | Physician Assistant | (* (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. Ashley P 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 |
Ashley P Theobald, PA-C 8 Tyler St, Greenville, SC 29605-2044 Ph: (346) 954-9273 | Ashley P Theobald, PA-C 2 Roper Corners Cir, Greenville, SC 29615-4833 Ph: (864) 234-7815 |
Reviews and Comments