Dr Michael Jonathan Theiss, DDS in Pembroke Pines, FL

Dr Michael Jonathan Theiss, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Pembroke Pines, Florida. His current practice location is 17901 Nw 5th Street, Suite # 101, Pembroke Pines, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 437-2222.

Dr Michael Jonathan Theiss is licensed to practice in Florida (license number DN26758) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235628991.

Contact Information

	Dr Michael Jonathan Theiss, DDS
	17901 Nw 5th Street, Suite # 101, Pembroke Pines, FL 33029
	(954) 437-2222
	(954) 437-2244

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Jonathan Theiss
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	17901 Nw 5th Street, Pembroke Pines, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235628991
Provider Enumeration Date: 05/08/2018
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 0244587244
Enrollment ID: I20231130000069

Medical Identifiers

Medical identifiers for Dr Michael Jonathan Theiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235628991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	0442000331 (Virginia)	Secondary
204E00000X	Oral & Maxillofacial Surgery	0442000331 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN26758 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael Jonathan Theiss allows following entities to bill medicare on his behalf.

Entity Name	Alfredo Tendler Dmd Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114291036 PECOS PAC ID: 8729244348 Enrollment ID: O20120726000527

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. Dr Michael Jonathan Theiss is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael Jonathan Theiss, DDS 790 E Broward Blvd, Unit 2403, Fort Lauderdale, FL 33301 Ph: (516) 359-9194	Dr Michael Jonathan Theiss, DDS 17901 Nw 5th Street, Suite # 101, Pembroke Pines, FL 33029 Ph: (954) 437-2222

Reviews and Comments

Dentist in Pembroke Pines, FL

Jamie Greear, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9033 Taft St, Pembroke Pines, FL 33024 Phone: 954-437-0900 Fax: 954-437-9268
Dr. Joel Brian Slingbaum, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2221 N University Dr, Suite D, Pembroke Pines, FL 33024 Phone: 954-961-3636 Fax: 954-961-8107
Jeffrey Alan Stevens, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3157 N University Dr, Suite 104, Pembroke Pines, FL 33024 Phone: 954-431-1600 Fax: 954-432-7994
Patricia Jaquez, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12297 Pembroke Rd, Pembroke Pines, FL 33025 Phone: 954-430-0308 Fax: 954-438-5774
Richard Jose Karam, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7100 Pines Blvd Ste 24, Pembroke Pines, FL 33024 Phone: 954-961-0400
Dr. Benton Charles Rothfield, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6805 Pembroke Rd, Pembroke Pines, FL 33023 Phone: 954-989-6950 Fax: 954-989-6962
Mauritania Pol Nuris, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9818 Pines Blvd, Pembroke Pines, FL 33024 Phone: 954-432-4800

Dr Michael Jonathan Theiss, DDS - Medicare Dentist in Pembroke Pines, FL