Provider profile

John TheisenMD, MSCR

Obstetrics & Gynecology, Reproductive Endocrinology

2 locationsNPI 1861734378
810 Chafee Avenue, Augusta, GA 30904706-722-4434

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Medicare Advantage plans for Richmond County, GA and Jefferson County, KY.

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Directory results See what each insurance company reports

Listed on 12 plans so far

Some of Aetna Medicare, Anthem Blue Cross and Blue Shield, Clover Health, Devoted, Essence Healthcare, Humana, Passport Advantage, PruittHealth Premier, UnitedHealthcare and Wellcare's 2027 plans in Richmond County, GA and Jefferson County, KY haven't been checked yet.

The 139 Medicare Advantage plans we show for Richmond County, GA and Jefferson County, KY in 2027

  • 12 list John
  • 66 not listed
  • 61 not checked yet

Aetna Medicare

12 plans list John; not listed on 1 other plan.

12plans
  • Aetna Medicare Eagle Extra Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 180 Wingo Way, Ste 130, Mount Pleasant, SC, 29464
    • 180 Wingo Way, Ste 103, Mount Pleasant, SC, 29464

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH2293-009-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Plus (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 180 Wingo Way, Ste 130, Mount Pleasant, SC, 29464
    • 180 Wingo Way, Ste 103, Mount Pleasant, SC, 29464

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsH3288-034-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 180 Wingo Way, Ste 130, Mount Pleasant, SC, 29464
    • 180 Wingo Way, Ste 103, Mount Pleasant, SC, 29464

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH3288-027-000Medicare.gov
    $0a month
  • Aetna Medicare Signature Care (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 180 Wingo Way, Ste 130, Mount Pleasant, SC, 29464
    • 180 Wingo Way, Ste 103, Mount Pleasant, SC, 29464

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH5302-022-000Medicare.gov
    $0a month

6 more Aetna Medicare plans haven't been checked yet.

Anthem Blue Cross and Blue Shield

Not checked yet.

8 more Anthem Blue Cross and Blue Shield plans haven't been checked yet.

Clover Health

Not listed on its 4 plans here. That isn't proof they're out of network.

Devoted

Not checked yet.

6 more Devoted plans haven't been checked yet.

Essence Healthcare

Not checked yet.

Humana

Not checked yet.

18 more Humana plans haven't been checked yet.

Passport Advantage

Not checked yet.

PruittHealth Premier

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not checked yet.

13 more UnitedHealthcare plans haven't been checked yet.

Wellcare

Not checked yet.

7 more Wellcare plans haven't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether John takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

2 practice locations

810 Chafee Avenue
Augusta, GA 30904

NPI Registry

550 S Jackson St, Acb 2nd Floor, Department of Obstetrics and Gynecology
Louisville, KY 40202

NPI Registry
NPI issued
2013
Registry record updated
Jul 21, 2022

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list John Theisen?

In Richmond County, GA and Jefferson County, KY, 12 Medicare Advantage plans for 2027 list John in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Extra Plus (PPO), Aetna Medicare Eagle Plus (PPO) and Aetna Medicare Elite (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does John Theisen practice?

2 locations, including 810 Chafee Avenue, Augusta, GA. All of them are listed on this page.

How do I confirm John is in my plan's network?

Call the member services number on your plan card and give them the NPI 1861734378, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm John's networks with the carrier and help you compare plans that include them.

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Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Richmond County, GA and Jefferson County, KY. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-07-21). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 13, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by John Theisen or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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