Rebecca L Thoreson, MD is a
Surgery physician based in Paw Paw, Michigan. Rebecca L Thoreson is licensed to practice in Iowa (license number R7645) and her current practice location is 404 Hazen St, Suite 101, Paw Paw, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 657-4407.
NPI number for Rebecca L Thoreson is 1477762441 and her current mailing address is 601 John St, Suite 101, Kalamazoo, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477762441.
Physician's Profile
| Full Name | Rebecca L Thoreson |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 404 Hazen St, Paw Paw, Michigan |
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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: 1477762441
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 10/14/2014
Medical Identifiers
Medical identifiers for Rebecca L Thoreson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477762441 | NPI | - | NPPES |
| 1477762441 | Medicaid | MI | |
| 1235131137 | Other | MI | BCBSM - BLH TAX ID |
| 1235131137 | Other | MI | BCBS M - BLH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | R7645 (Iowa) | 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. Rebecca L Thoreson 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 |
|---|
Rebecca L Thoreson, MD
601 John St, Suite 101,
Kalamazoo, MI 49007-5341
Ph: (269) 657-4407 | Rebecca L Thoreson, MD
404 Hazen St, Suite 101,
Paw Paw, MI 49079-1040
Ph: (269) 657-4407 |
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