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REBECCA LAUREN THEISEN MD
NPI 1417444597
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 15, 2018PECOS Enrolled
50 E CANFIELD ST, DETROIT, MI 48201(313) 745-4525 Get Directions Write a Review

NPPES record last updated: April 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Lauren Theisen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA LAUREN THEISEN MD (NPI 1417444597) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417444597
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREBECCA LAUREN THEISENCredential: MD
Location Address50 E CANFIELD STDetroit, MI 48201-1804
Mailing Address5044 Commonwealth StDetroit, MI 48208-2040
Phone(313) 745-4525
Sole ProprietorNo
Enumeration DateApril 15, 2018
✔ NPI 1417444597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
50 E CANFIELD ST, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Lauren Theisen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SABA ALAN FRANCIS M.D.
Internal Medicine
50 E CANFIELD ST
DETROIT, MI 48201
Wayne County (313) 745-4525
PIERRE TANNOUS M.D.
Internal Medicine
50 E CANFIELD ST
DETROIT, MI 48201
Wayne County (313) 745-4525
DIANE LYNN LEVINE MD
Internal Medicine
50 E CANFIELD ST, GENERAL MEDICINE AMBULATORY PRACTICE
DETROIT, MI 48201
Wayne County (313) 745-4525
DERREK MILLETT MD
Internal Medicine
50 E CANFIELD ST
DETROIT, MI 48201
Wayne County (313) 745-6969
DR. JARRETT JOSEPH WEINBERGER MD
Internal Medicine
50 E CANFIELD ST, GENERAL MEDICINE AMBULATORY PRACTICE
DETROIT, MI 48201
Wayne County (313) 745-4525
ARCHANA KURRA
Internal Medicine
50 E CANFIELD ST
DETROIT, MI 48201
Wayne County (313) 745-4832
DR. SALAM ZEINEDDINE M.D
Internal Medicine
50 E CANFIELD ST, GENERAL MEDICINE AMBULATORY PRACTICE
DETROIT, MI 48201
Wayne County (313) 745-4525
LAUREN CARROLL MD
Internal Medicine
50 E CANFIELD ST
DETROIT, MI 48201
Wayne County (313) 745-6960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Theisen's NPI number?

The NPI number for Rebecca Theisen is 1417444597. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Rebecca Theisen located?

Rebecca Theisen practices at 50 E Canfield St, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Rebecca Theisen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rebecca Theisen enrolled in Medicare?

Yes. Rebecca Theisen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Theisen was last updated on April 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.