Dr Mac Theodore Wayment, DO in Folsom, CA

Dr Mac Theodore Wayment, DO is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Folsom, California. His current practice location is 1700 Prairie City Rd, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (916) 351-4800.

Dr Mac Theodore Wayment is licensed to practice in California (license number 20A9172) 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 1609088350.

Contact Information

	Dr Mac Theodore Wayment, DO
	1700 Prairie City Rd, Folsom, CA 95630-9594
	(916) 351-4800
	(916) 351-4899

Map and Direction

Physician's Profile

Full Name	Dr Mac Theodore Wayment
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	1700 Prairie City Rd, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609088350
Provider Enumeration Date: 05/04/2007
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 6709946825
Enrollment ID: I20081119000717

Medical Identifiers

Medical identifiers for Dr Mac Theodore Wayment such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609088350	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20A 9172 (California)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	20A9172 (California)	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 Mac Theodore Wayment allows following entities to bill medicare on his behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

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 Mac Theodore Wayment 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 Mac Theodore Wayment, DO 3400 Data Dr, Physician Support Services, Rancho Cordova, CA 95670-7956 Ph: () -	Dr Mac Theodore Wayment, DO 1700 Prairie City Rd, Folsom, CA 95630-9594 Ph: (916) 351-4800

Reviews and Comments

Pediatrics Doctors in Folsom, CA

Karen D. Camfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Lenore Reeva Cs Youssefi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E. Bidwell Street, Suite 250, Folsom, CA 95630 Phone: 916-817-3700 Fax: 916-817-3721
Sally J. Cullen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Shiwaji Dattatray Pawar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5438 Fax: 916-817-5415
Mitra Choudri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Dee Jay Nery Miranda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5463
Dr. Randall Claud Hepworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 River Rock Dr, Ste 114, Folsom, CA 95630 Phone: 916-989-2086 Fax: 916-989-0367

Dr Mac Theodore Wayment, DO - Medicare Pediatrics in Folsom, CA