Dr Michael Jonathan Theiss, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" 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 * (Not Available) (license number ) 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.
Healthcare Provider's Profile
Full Name | Dr Michael Jonathan Theiss |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 17901 Nw 5th Street, Pembroke Pines, Florida |
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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: 08/22/2022
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)) | 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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114291036 PECOS PAC ID: 8729244348 Enrollment ID: O20120726000527 |
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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 |
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