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

  1. Home
  2. Nurse Practitioner
  3. MD
  4. North East
Amy Theriault, CRNP is a medicare enrolled "Nurse Practitioner - Family" in North East, Maryland. She graduated from nursing school in 2015 and has 9 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 NameAmy Theriault
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location103 Cool Springs Rd, North East, Maryland
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1295107977NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R165542 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Care Center Llc3274801139192

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 NameUpper Chesapeake Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497801419
PECOS PAC ID: 3173556974
Enrollment ID: O20050913000525
Entity NameUpper Chesapeake Primary Care,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093902793
PECOS PAC ID: 3476637737
Enrollment ID: O20080225000747
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140522000040
Entity NamePrivia Care Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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    

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.