Magen Mae Thies, MS, CCC-SLP is a 
Speech-language Pathologist based in Montrose, Minnesota. Magen Mae Thies is licensed to practice in Minnesota (license number 9986) and her current practice location is 
645 Us Highway 12 Se, Montrose, Minnesota. She can be reached at her office (for appointments etc.) via phone at 
(218) 839-4106.
NPI number for Magen Mae Thies is 1487173407 and her current mailing address is 645 Us Highway 12 Se, Montrose, Minnesota. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487173407.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Magen Mae Thies | 
|---|
| Gender | Female | 
|---|
| Speciality | Speech-language Pathologist | 
|---|
| Location | 645 Us Highway 12 Se, Montrose, Minnesota | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1487173407
- Provider Enumeration Date: 09/11/2017
- Last Update Date: 08/25/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Magen Mae Thies such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1487173407 | NPI | - | NPPES | 
| 14315019 | Other |  | CAQH | 
| SA2142 | Medicaid | SC |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 235Z00000X | Speech-language Pathologist | 9986 (Minnesota) | 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. Magen Mae Thies 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 | 
|---|
		| Magen Mae Thies, MS, CCC-SLP 645 Us Highway 12 Se,
 Montrose, MN 55363-8012
 Ph: (218) 839-4106
 | Magen Mae Thies, MS, CCC-SLP 645 Us Highway 12 Se,
 Montrose, MN 55363-8012
 Ph: (218) 839-4106
 | 
		
		 
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