Mandy B Theisen (NPI# 1164589057, PAC ID# 5294894150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
Nation Provider ID (NPI) | 1164589057 |
PAC ID by PECOS | 5294894150 |
Professional Enrollment ID | I20081106000498 |
Full Name | Mandy B Theisen |
Organization Legal Name | MASSACHUSETTS EYE AND EAR ASSOCIATES, INC |
Address |
101 Main St Medford MA 02155-4540 |
Phone Number | 7818741965 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | QUALIFIED AUDIOLOGIST |
Group Practice PAC ID | 4486540275 |
Number of Group Practice Members | 294 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220075 | MASSACHUSETTS EYE AND EAR INFIRMARY - |
Address | Phone | Organization |
---|---|---|
101 Main St, Medford, MA 02155-4540 | 7818741965 | MASSACHUSETTS EYE AND EAR ASSOCIATES, INC |
Organization Legal Name | MASSACHUSETTS EYE AND EAR ASSOCIATES, INC |
Physicians | 270 |
Name | Specialty | Organization | Address |
---|---|---|---|
Casey Borstel | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 527 Long Pond Dr, Suite C, Harwich, MA 02645-1227 |
Deep Parikh | Ophthalmology | Massachusetts Eye and Ear Associates, Inc | 243 Charles St, Boston, MA 02114-3002 |
Miranda Flanagan | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 500 Congress St, Suite 2b, Quincy, MA 02169-0960 |
Lara Wandzilak | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 41 Montvale Ave, Suite 200, Stoneham, MA 02180-2445 |
Heidi Leonard | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 101 Main St, Medford, MA 02155-4540 |
Lynette Kathleen Johns | Optometry | Massachusetts Eye and Ear Associates, Inc | 1601 Trapelo Rd, Suite 104, Waltham, MA 02451-7333 |
Dukhee Rhee | Otolaryngology | Massachusetts Eye and Ear Associates, Inc | 1 Montvale Ave, Suite 502, Stoneham, MA 02180-3559 |
Steven D Rauch | Otolaryngology | Massachusetts Eye and Ear Associates, Inc | 243 Charles St, Boston, MA 02114-3002 |
Colleen Vasques | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 243 Charles St, Boston, MA 02114-3002 |
Daniel Lefebvre | Ophthalmology | Massachusetts Eye and Ear Associates, Inc | 243 Charles St, Boston, MA 02114-3002 |
Street Address |
101 MAIN ST |
City | MEDFORD |
State | MA |
Zip | 02155-4540 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heidi Leonard | Qualified Audiologist | Massachusetts Eye and Ear Associates, Inc | 101 Main St, Medford, MA 02155-4540 |
Marcia L Zuckerman | Psychiatry | Hallmark Health Medical Associates Inc | 101 Main St, Suite 112, Medford, MA 02155-4530 |
Kelsey M Kienert | Internal Medicine | Ascension Medical Group-fox Valley Wisconsin, Inc | 101 Main St, Neenah, WI 54956-2570 |
Davis T Bu | Internal Medicine | Hallmark Health Medical Associates Inc | 101 Main St, Suite 204, Medford, MA 02155-4530 |
Solmaz Amirnazmi | Internal Medicine | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
Ashley Riley | Nurse Practitioner | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
Sylvia Cho | Obstetrics/gynecology | Hallmark Health Medical Associates Inc | 101 Main St, Suite 217, Medford, MA 02155-4530 |
Josephine A Albano | Internal Medicine | Partners Community Physicians Organization Inc | 101 Main St, Suite 107, Medford, MA 02155-4530 |
Sameer N Gaonkar | Family Medicine | Hallmark Health Medical Associates Inc | 101 Main St, Suite 116, Medford, MA 02155-4530 |
Frank P Petronella | Oral Surgery | 101 Main St, Tuckahoe, NY 10707-2901 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Miriam T Dougherty | Ophthalmology | 77 Playstead Rd, Medford, MA 02155-1451 | |
Elizabeth Marie Gingerich X | Psychiatry | 219 Ashcroft Rd, Medford, MA 02155-1602 | |
Ellen D Klee | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Ann-marie E Sullivan | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
Jessica L Johanson | Nurse Practitioner | Massachusetts Acute Care Specialists PC | 170 Governors Ave, Medford, MA 02155-1643 |
Andrea M Messina | Nurse Practitioner | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Patricia A Sereno | Family Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Josephine M Gaviola | Nurse Practitioner | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Paula M Fang | Internal Medicine | Hallmark Health Medical Associates Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Daniel J Carlat | Psychiatry | Melrosewakefield Healthcare, Inc | 170 Governors Ave, Medford, MA 02155-1643 |
Find all physicians in zip 02155 |
City | MEDFORD |
Zip Code | 02155 |
Specialty | QUALIFIED AUDIOLOGIST |
City + Specialty | MEDFORD + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Mandy B Theisen.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.