| Lacie Michelle Theis, ARNP, PMHNP-BC | |
|
111 10th St Sw, Waverly, IA 50677-2925 | |
| (319) 352-2329 | |
| Not Available |
| Full Name | Lacie Michelle Theis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 111 10th St Sw, Waverly, Iowa |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871105916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G159694 (Iowa) | Primary |
| 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 |
| 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 |
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 | |
Jan Paula Davis, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments 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 | |
Kerri Marie Vanee, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 E Bremer Ave Ste 100, Waverly, IA 50677 Phone: 319-239-9194 | |
Kristen Grapp, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 312 9th St Sw, Waverly, IA 50677 Phone: 319-352-4120 |