Laurie A Theeke, CFNP is a
Nurse Practitioner - Family based in Morgantonw, West Virginia. Laurie A Theeke is licensed to practice in West Virginia (license number 037148) and her current practice location is
1 Medical Center Drive, Morgantonw, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 598-6900.
NPI number for Laurie A Theeke is 1760594162 and her current mailing address is P. O. Box 897, Morgantown, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760594162.
Provider's Profile
| Full Name | Laurie A Theeke |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1 Medical Center Drive, Morgantonw, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760594162
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 10/22/2010
Medical Identifiers
Medical identifiers for Laurie A Theeke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760594162 | NPI | - | NPPES |
| 0166639000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 037148 (West Virginia) | Primary |
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. Laurie A Theeke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Laurie A Theeke, CFNP
P. O. Box 897,
Morgantown, WV 26507-0897
Ph: (304) 293-7401 | Laurie A Theeke, CFNP
1 Medical Center Drive,
Morgantonw, WV 26506
Ph: (304) 598-6900 |
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