Dr. Philip R Banghart is a Mattoon, Illinois based Oral and Maxillofacial Surgeon with 37 years of experience in Oral and Maxillofacial Surgery. He completed his graduation from Univ Of Illinois At Chicago College Of Dentistry in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Philip R Banghart is 019-021176 for Oral and Maxillofacial Surgery in Illinois. His current practice location is 102 Professional Plz, Mattoon. Patients can reach him at 217-345-7070.
Dr. Philip R Banghart deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Profile:
Dr. Philip R Banghart speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Philip R Banghart
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
D.D.S.
Experience:
37+ years
Medical School Attended:
Univ Of Illinois At Chicago College Of Dentistry
Graduation Year:
1988
Accepts Medicare Assignment:
Yes
Practice Address:
102 Professional Plz, Mattoon, Illinois, 61938-9252
Phone:
217-345-7070
Fax:
217-345-7077
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5193884534
Enrollment ID:
I20081030000324
NPI Number:
1982609087
NPI Enumeration Date:
15 Jun, 2005
NPI Last Update On:
10 Nov, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Philip R Banghart are as mentioned below.
License Number
Specialization
State
Status
019-021176
Oral and Maxillofacial Surgery
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Philip R Banghart is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Affiliates In Oral And Maxillofacial Surgery Ltd (0345309779)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Philip R Banghart such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
019-021176
Medicaid
Illinois
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
102 Professional Plz, Mattoon, Illinois
Zip:
61938-9252
Phone Number:
217-345-7070
Fax Number:
217-345-7077
Patients can reach Dr. Philip R Banghart at 102 Professional Plz, Mattoon, Illinois or can call to book an appointment on 217-345-7070. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.