Dr Theodore D Fifer, MD FACS in Effingham, IL

Dr Theodore D Fifer, MD FACS is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Effingham, Illinois. His current practice location is 14900 N Court 9, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 994-6162.

Dr Theodore D Fifer is licensed to practice in Illinois (license number 036084136) 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 1508034596.

Contact Information

	Dr Theodore D Fifer, MD FACS
	14900 N Court 9, Effingham, IL 62401-7640
	(217) 994-6162
	(217) 342-7094

Map and Direction

Physician's Profile

Full Name	Dr Theodore D Fifer
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	14900 N Court 9, Effingham, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508034596
Provider Enumeration Date: 02/13/2008
Last Update Date: 12/12/2012

Medicare PECOS Information:

PECOS PAC ID: 5890863815
Enrollment ID: I20081003000651

Medical Identifiers

Medical identifiers for Dr Theodore D Fifer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508034596	NPI	-	NPPES
036-084136	Medicaid	IL
025-00076	Other	IL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2082S0105X	Plastic Surgery - Surgery Of The Hand	036084136 (Illinois)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	036084136 (Illinois)	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 Theodore D Fifer allows following entities to bill medicare on his behalf.

Entity Name	Illinois Department Of Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414

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 Theodore D Fifer 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 Theodore D Fifer, MD FACS 14900 N Court 9, Effingham, IL 62401-7640 Ph: (217) 994-6162	Dr Theodore D Fifer, MD FACS 14900 N Court 9, Effingham, IL 62401-7640 Ph: (217) 994-6162

Reviews and Comments

Surgery Doctors in Effingham, IL

Dr. Kevin D Malone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 W Evergreen Ave, Effingham, IL 62401 Phone: 217-347-2500 Fax: 217-342-9775
Lisa A Kowalski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-347-3033
Jason J Mcallaster, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Maple St, Effingham, IL 62401 Phone: 217-342-4151 Fax: 217-342-4190
Dr. Patrick Kyle Stewart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Medical Park Dr Ste 100, Effingham, IL 62401 Phone: 217-347-7400
Kevin A Calder, MD Surgery Medicare: Medicare Enrolled Practice Location: 900 W Temple Ave, Effingham, IL 62401 Phone: 217-540-2350
Dr. Mohammed Iyoob Mohammed Ilyas, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 904 Medical Park Dr Ste 2, Effingham, IL 62401 Phone: 217-347-2255
Dr. Ruben D Boyajian, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 900 West Temple Avenue, Building B - Suite 2500, Effingham, IL 62401 Phone: 217-347-2255 Fax: 217-342-6910

Dr Theodore D Fifer, MD FACS - Medicare Surgery in Effingham, IL