| Theresia Renner, PA-C | |
|
200 Clinic Dr, Madisonville, KY 42431-1661 | |
| (270) 825-7200 | |
| Not Available |
| Full Name | Theresia Renner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740387372 | NPI | - | NPPES |
| 000000107779 | Other | BCBS PROVIDER NUMBER | |
| PA195 | Other | KY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA195 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresia Renner, PA-C 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 | Theresia Renner, PA-C 200 Clinic Dr, Madisonville, KY 42431-1661 Ph: (270) 825-7200 |
Mr. Terry Lynn Mcpherson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Ruby Dr, Madisonville, KY 42431 Phone: 270-399-7900 Fax: 270-399-7910 | |
Sandra Alexis Soriano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Alicia F. Terry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 | |
Mr. Roger E Ordal, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-326-6116 Fax: 270-326-6118 | |
Nancy Katherine Drury, CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Hospital Dr, Madisonville, KY 42431 Phone: 270-825-5100 | |
Jason Aaron Canterberry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Ruby Dr, Madisonville, KY 42431 Phone: 270-399-7900 Fax: 270-399-7910 | |
Tammy D Clayton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 444 S Main St, Madisonville, KY 42431 Phone: 270-821-4444 Fax: 270-821-9188 |