Dr Theresa A Arvesen, MD is a medicare enrolled "Anesthesiology" physician in Coudersport, Pennsylvania. Her current practice location is
1001 E 2nd St, Coudersport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 274-9300.
Dr Theresa A Arvesen is licensed to practice in Virginia (license number 0101244918) 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 1154546067.
Physician's Profile
| Full Name | Dr Theresa A Arvesen |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154546067
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365539400
- Enrollment ID: I20071106000389
Medical Identifiers
Medical identifiers for Dr Theresa A Arvesen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154546067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 01062546A (Indiana) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 200601601 (North Carolina) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | D68642 (Maryland) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | MD439613 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | 0101244918 (Virginia) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 38140 (Iowa) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 0101244918 (Virginia) | Secondary |
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 Theresa A Arvesen allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
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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 Theresa A Arvesen 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 Theresa A Arvesen, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300 | Dr Theresa A Arvesen, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300 |
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