Eric Joseph Theisen, RN in Saint Cloud, MN - Medicare Nurse Anesthetist, Certified Registered

Eric Joseph Theisen, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Cloud, Minnesota. His current practice location is 1526 Northway Dr, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (800) 349-7272.

Eric Joseph Theisen is licensed to practice in Minnesota (license number 2920) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851168165.

Contact Information

	Eric Joseph Theisen, RN
	1526 Northway Dr, Saint Cloud, MN 56303-1224
	(800) 349-7272
	Not Available

Map and Direction

Provider's Profile

Full Name	Eric Joseph Theisen
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1526 Northway Dr, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851168165
Provider Enumeration Date: 12/06/2023
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7810336690
Enrollment ID: I20240412000921

Medical Identifiers

Medical identifiers for Eric Joseph Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851168165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2920 (Minnesota)	Primary
163W00000X	Registered Nurse	201928-0 (Minnesota)	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. Eric Joseph Theisen allows following entities to bill medicare on his behalf.

Entity Name	St Cloud Outpatient Surgery Ltd
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651

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. Eric Joseph Theisen 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
Eric Joseph Theisen, RN 1526 Northway Dr, Saint Cloud, MN 56303-1224 Ph: (800) 349-7272	Eric Joseph Theisen, RN 1526 Northway Dr, Saint Cloud, MN 56303-1224 Ph: (800) 349-7272

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Cloud, MN

Craig Tangen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090
Kimberly Huschle, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090
Kayla Jane Elwood, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090
Stephany S Latunski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Penny Renee Janorschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1406 6th St N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7092
Nicholas M Lejcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Bertil Lindquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095

Eric Joseph Theisen, RN - Medicare Nurse Anesthetist, Certified Registered in Saint Cloud, MN