Amy Theriault, CRNP in North East, MD - Medicare Nurse Practitioner

Amy Theriault, CRNP is a medicare enrolled "Nurse Practitioner - Family" in North East, Maryland. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Privia Care Center Llc and her current practice location is 103 Cool Springs Rd, North East, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 322-2265.

Amy Theriault is licensed to practice in Maryland (license number R165542) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295107977.

Contact Information

	Amy Theriault, CRNP
	103 Cool Springs Rd, North East, MD 21901-2902
	(410) 322-2265
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Theriault
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	103 Cool Springs Rd, North East, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amy Theriault graduated from nursing school in 2015

NPI Data:

NPI Number: 1295107977
Provider Enumeration Date: 10/21/2015
Last Update Date: 10/21/2015

Medicare PECOS Information:

PECOS PAC ID: 6204139793
Enrollment ID: I20160115001087

Medical Identifiers

Medical identifiers for Amy Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295107977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R165542 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bayada Home Health, Inc	Towson, MD	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Care Center Llc	3274801139	251

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. Amy Theriault allows following entities to bill medicare on her behalf.

Entity Name	Upper Chesapeake Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497801419 PECOS PAC ID: 3173556974 Enrollment ID: O20050913000525

Entity Name	Upper Chesapeake Primary Care,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093902793 PECOS PAC ID: 3476637737 Enrollment ID: O20080225000747

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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. Amy Theriault 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
Amy Theriault, CRNP 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 Ph: (443) 643-1000	Amy Theriault, CRNP 103 Cool Springs Rd, North East, MD 21901-2902 Ph: (410) 322-2265

Reviews and Comments

Nurse Practitioner Nurses in North East, MD

Carla Dimiris, APRN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2057 Pulaski Hwy Ste 6, North East, MD 21901 Phone: 443-267-2969
Mrs. Jessica Cottrell, FNP-BC, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 Warburton Rd, North East, MD 21901 Phone: 443-528-8992
Mr. Antonio Pedulla Jr., CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Rogers Rd Ste 211, North East, MD 21901 Phone: 410-280-7683 Fax: 610-702-8056
Misoon Kim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 N East Plz, North East, MD 21901 Phone: 410-287-5570
Jeremy Paul Bunty, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29 Springfield Ct, North East, MD 21901 Phone: 302-420-0832
Eileen M Pack, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 E Cecil Ave # 1, North East, MD 21901 Phone: 410-287-5570

Amy Theriault, CRNP - Medicare Nurse Practitioner in North East, MD