Lacie Michelle Theis, ARNP, PMHNP-BC in Waverly, IA

Lacie Michelle Theis, ARNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waverly, Iowa. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pathways Behavioral Services Inc and her current practice location is 111 10th St Sw, Waverly, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 352-2329.

Lacie Michelle Theis is licensed to practice in Iowa (license number G159694) 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 1871105916.

Contact Information

	Lacie Michelle Theis, ARNP, PMHNP-BC
	111 10th St Sw, Waverly, IA 50677-2925
	(319) 352-2329
	Not Available

Map and Direction

Provider's Profile

Full Name	Lacie Michelle Theis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	111 10th St Sw, Waverly, Iowa
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:

Lacie Michelle Theis graduated from nursing school in 2020

NPI Data:

NPI Number: 1871105916
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 1658799838
Enrollment ID: I20200921001714

Medical Identifiers

Medical identifiers for Lacie Michelle Theis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871105916	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G159694 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pathways Behavioral Services Inc	3779582796	17

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. Lacie Michelle Theis allows following entities to bill medicare on her behalf.

Entity Name	Pathways Behavioral Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114950979 PECOS PAC ID: 3779582796 Enrollment ID: O20061220000159

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. Lacie Michelle Theis 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
Lacie Michelle Theis, ARNP, PMHNP-BC 814 Easton Ave, Waterloo, IA 50702-3916 Ph: (319) 961-0696	Lacie Michelle Theis, ARNP, PMHNP-BC 111 10th St Sw, Waverly, IA 50677-2925 Ph: (319) 352-2329

Reviews and Comments

Nurse Practitioner Nurses in Waverly, IA

Teresa Anne Isaacson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-483-1390 Fax: 319-483-1399
Mrs. Jodi Bangasser, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-483-1365 Fax: 319-352-3992
Trisha Lynn Tibbitts, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Cedar River Pkwy Ste 101, Waverly, IA 50677 Phone: 319-352-1037
Jan Paula Davis, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 9th St Sw Ste 3300, Waverly, IA 50677 Phone: 319-483-1400 Fax: 319-483-1439
Carissa Jo Kelm, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 312 9th St. Sw, Waverly, IA 50677 Phone: 319-352-4120
Rae Gene Hovenga, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-4120
Leeann Hoodjer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Waverly Health Center, 312 9th Street Sw, Waverly, IA 50677 Phone: 319-352-4120

Lacie Michelle Theis, ARNP, PMHNP-BC - Medicare Nurse Practitioner in Waverly, IA