| Theresa Ohl, FNP-BC | |
|
311 S 8th Ave E, 311 S. 8th Ave E, Malta, MT 59538-8978 | |
| (406) 654-1800 | |
| (406) 654-2876 |
| Full Name | Theresa Ohl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 311 S 8th Ave E, Malta, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972973477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NUR-RN-LIC-28429 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beartooth Billings Clinic | Red lodge, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Association | 1951375849 | 19 |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184785099 PECOS PAC ID: 1951375849 Enrollment ID: O20040825001090 |
| Entity Name | Phillips County Hospital Assn |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205038379 PECOS PAC ID: 5092757245 Enrollment ID: O20050526000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Ohl, FNP-BC 311 S 8th Ave E, Po Box 640, Malta, MT 59538-8978 Ph: (406) 654-1800 | Theresa Ohl, FNP-BC 311 S 8th Ave E, 311 S. 8th Ave E, Malta, MT 59538-8978 Ph: (406) 654-1800 |
Mrs. Jessica Marie Domire, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 140 S Central Ave, Malta, MT 59538 Phone: 406-654-1953 | |
Jesse Brockie, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 S 8th Ave E, Malta, MT 59538 Phone: 406-654-1800 Fax: 406-654-1700 |