Karl S Theil, MD - Medicare Pathology in Independence, OH

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Karl S Theil, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Independence, Ohio. He went to Ohio State University College Of Medicine and graduated in 1980 and has 46 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Cleveland Clinic, Wooster Clinic Llc and his current practice location is 6000 W Creek Rd, Suite 10, Independence, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 986-1314.

Karl S Theil is licensed to practice in Ohio (license number 35048664T) 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 1316998420.

Contact Information

Karl S Theil, MD
6000 W Creek Rd, Suite 10,
Independence, OH 44131-2139
(216) 986-1314
(216) 986-1191

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Physician's Profile

Full NameKarl S Theil
GenderMale
SpecialityPathology
Experience46 Years
Location6000 W Creek Rd, Independence, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karl S Theil attended and graduated from Ohio State University College Of Medicine in 1980
  NPI Data:
  • NPI Number: 1316998420
  • Provider Enumeration Date: 05/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6204731680
  • Enrollment ID: I20060927000079

Medical Identifiers

Medical identifiers for Karl S Theil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316998420NPI-NPPES
0630160MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 35048664T (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cleveland ClinicCleveland, OHHospital
Hillcrest HospitalMayfield heights, OHHospital
Fairview HospitalCleveland, OHHospital
Akron General Medical CenterAkron, OHHospital
Medina HospitalMedina, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic18502035556184
Wooster Clinic Llc6800708124367

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. Karl S Theil allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049
Entity NameWooster Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033135009
PECOS PAC ID: 6800708124
Enrollment ID: O20031211000578

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. Karl S Theil 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 AddressPractice Location Address
Karl S Theil, MD
9500 Euclid Ave,
Cleveland, OH 44195-0001

Ph: (800) 223-2273		Karl S Theil, MD
6000 W Creek Rd, Suite 10,
Independence, OH 44131-2139

Ph: (216) 986-1314

Reviews and Comments


Pathology Doctors in Independence, OH

Bin Yang, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6000 W Creek Rd, Suite 10, Independence, OH 44131
Phone: 800-223-2273    
Ilka Warshawsky, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 6000 W Creek Rd, Suite 10, Independence, OH 44131
Phone: 800-223-2273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.