Theresia Renner, PA-C - Physician Assistant in Madisonville, KY

Theresia Renner, PA-C is a Physician Assistant - Surgical based in Madisonville, Kentucky. Theresia Renner is licensed to practice in Kentucky (license number PA195) and her current practice location is 200 Clinic Dr, Madisonville, Kentucky. She can be reached at her office (for appointments etc.) via phone at (270) 825-7200.

NPI number for Theresia Renner is 1740387372 and her current mailing address is 200 Clinic Dr, Madisonville, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740387372.

Contact Information

Theresia Renner, PA-C
200 Clinic Dr,
Madisonville, KY 42431-1661
(270) 825-7200
Not Available



Provider's Profile

Full NameTheresia Renner
GenderFemale
SpecialityPhysician Assistant - Surgical
Location200 Clinic Dr, Madisonville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740387372
  • Provider Enumeration Date: 09/17/2006
  • Last Update Date: 04/19/2011

Medical Identifiers

Medical identifiers for Theresia Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740387372NPI-NPPES
000000107779OtherBCBS PROVIDER NUMBER
PA195OtherKYLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA195 (Kentucky)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. Theresia Renner 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
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

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› Verified 2 days ago


Physician Assistant Nurses in Madisonville, KY

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

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