Dr Brian Kevin Theisen, MD in Detroit, MI

Dr Brian Kevin Theisen, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Detroit, Michigan. He went to Wayne State University School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Henry Ford Health System, Henry Ford Pathology and his current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2964.

Dr Brian Kevin Theisen is licensed to practice in Michigan (license number 4301501908) 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 1407246226.

Contact Information

	Dr Brian Kevin Theisen, MD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-2964
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brian Kevin Theisen
Gender	Male
Speciality	Pathology
Experience	15 Years
Location	2799 W Grand Blvd, Detroit, Michigan
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:

Dr Brian Kevin Theisen attended and graduated from Wayne State University School Of Medicine in 2011

NPI Data:

NPI Number: 1407246226
Provider Enumeration Date: 02/01/2015
Last Update Date: 05/08/2020

Medicare PECOS Information:

PECOS PAC ID: 1658664941
Enrollment ID: I20200506001770

Medical Identifiers

Medical identifiers for Dr Brian Kevin Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407246226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZC0500X	Pathology - Cytopathology	4301501908 (Michigan)	Secondary
207ZC0500X	Pathology - Cytopathology	MD045329 (District Of Columbia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD045329 (District Of Columbia)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	4301501908 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital
Henry Ford Macomb Hospital	Clinton township, MI	Hospital
Henry Ford Wyandotte Hospital	Wyandotte, MI	Hospital
Henry Ford Allegiance Health	Jackson, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Health System	0547178311	2304
Henry Ford Pathology	6406953439	30

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. Dr Brian Kevin Theisen allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760437826 PECOS PAC ID: 0244136067 Enrollment ID: O20031212000691

Entity Name	Henry Ford Macomb Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142

Entity Name	Henry Ford Pathology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851410005 PECOS PAC ID: 6406953439 Enrollment ID: O20070525000207

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. Dr Brian Kevin Theisen 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
Dr Brian Kevin Theisen, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: () -	Dr Brian Kevin Theisen, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2964

Reviews and Comments

Pathology Doctors in Detroit, MI

Mohammad Raoufi, MD Pathology Medicare: Medicare Enrolled Practice Location: Henry Ford Hospital, 2799 W Grand Boulevard, Detroit, MI 48202 Phone: 313-916-4027
Eleftherios Vouyoukas, MD, MSC Pathology Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000
Nazila Azordegan, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568
Koichi Maeda, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436
Daniel P Snower, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4000 Fax: 313-881-4727
Fulvio Lonardo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Harper Hospital Pathology, Detroit, MI 48201 Phone: 313-745-8555 Fax: 313-745-9299
Mousa Ali Al-abbadi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: Harper Hospital Pathology, 3990 John R, Detroit, MI 48201 Phone: 313-745-8555

Dr Brian Kevin Theisen, MD - Medicare Pathology in Detroit, MI