Mr Michael George Theele, CRNA - Nurse Anesthetist, Certified Registered in Albany, KY

Mr Michael George Theele, CRNA is a Nurse Anesthetist, Certified Registered based in Albany, Kentucky. Mr Michael George Theele is licensed to practice in Kentucky (license number 1059523) and his current practice location is 723 Burkesville Hwy, Albany, Kentucky. He can be reached at his office (for appointments etc.) via phone at (865) 777-0909.

NPI number for Mr Michael George Theele is 1083695522 and his current mailing address is 12752 Kingston Pike, Ste E202, Knoxville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083695522.

Contact Information

Mr Michael George Theele, CRNA
723 Burkesville Hwy,
Albany, KY 42602-1654
(865) 777-0909
(865) 777-0910



Provider's Profile

Full NameMr Michael George Theele
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location723 Burkesville Hwy, Albany, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083695522
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 01/11/2011

Medical Identifiers

Medical identifiers for Mr Michael George Theele such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083695522NPI-NPPES
000000350186OtherKYBLUE CROSS/BLUE SHIELD
74110214MedicaidKY
P00408377OtherKYRAILROAD MEDICARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1059523 (Kentucky)Primary
367500000XNurse Anesthetist, Certified Registered 1102A (Kentucky)Secondary
367500000XNurse Anesthetist, Certified Registered 10643 (Tennessee)Secondary

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. Mr Michael George Theele 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 AddressPractice Location Address
Mr Michael George Theele, CRNA
12752 Kingston Pike, Ste E202,
Knoxville, TN 37934-0948

Ph: (865) 777-0909
Mr Michael George Theele, CRNA
723 Burkesville Hwy,
Albany, KY 42602-1654

Ph: (865) 777-0909

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› Verified 8 days ago


Nurse Anesthetist, Certified Registered Nurses in Albany, KY

Ms. Joyce D Gill, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 723 Burkesville Hwy, Albany, KY 42602
Phone: 606-387-6421    Fax: 865-777-0910

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