| Paul Douglas Thielking, MD | |
|
672 W 400 S Ste 201, Springville, UT 84663-3170 | |
| (801) 369-8989 | |
| Not Available |
| Full Name | Paul Douglas Thielking |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 27 Years |
| Location | 672 W 400 S Ste 201, Springville, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124036595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4301082207 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Psychiatry Llc | 2163750688 | 40 |
| Entity Name | Cedar Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265092282 PECOS PAC ID: 2163750688 Enrollment ID: O20190822000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Douglas Thielking, MD 672 W 400 S, Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989 | Paul Douglas Thielking, MD 672 W 400 S Ste 201, Springville, UT 84663-3170 Ph: (801) 369-8989 |
James Michael Marcum, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 672 W 400 S Ste 201, Springville, UT 84663 Phone: 801-369-8989 Fax: 801-704-9741 | |
Dr. Thomas Eugene Draschil, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 672 W 400 S Ste B201, Springville, UT 84663 Phone: 801-369-8989 Fax: 801-704-9741 | |
Hannah Lindsey Banks, PMHNP-BC Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 672 W 400 S Ste 201, Springville, UT 84663 Phone: 801-787-1317 |