Micaela T Theisen
Medical Specialty
Professional ID
- NPI: 1902158421
- PECOS ID: 9830342369
- Enrollment ID: I20160928002896
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2012
Hospital Service
- Hospital CCN1: 030084
- Business Name (LBN)1: Chinle Comprehensive Health Care Facility
- Hospital CCN2: 501339
- Business Name (LBN)2: Whidbey General Hospital
Medical Practices
- Organization Name: South Sound Inpatient Physicians Pllc
- Group Practice ID assigned by PECOS: 5991618738
- Number of Group Practice member: 387
Location
- Address1: 16251 Sylvester Rd Sw
- Address2:
- City: Burien
- State: Washington
- Zip Code: 98166
- Phone Number: (206)244-9970
Medical Practices
- Organization Name: Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
- Group Practice ID assigned by PECOS: 9436062585
- Number of Group Practice member: 151
Location
- Address1: Navajo Route 4
- Address2:
- City: Pinon
- State: Arizona
- Zip Code: 86510
- Phone Number: (928)725-3220
Location
- Address1: Navajo Route 64
- Address2:
- City: Tsaile
- State: Arizona
- Zip Code: 86556
- Phone Number: (928)724-3600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):