Theron Waisath is a Champaign, Illinois based Oral and Maxillofacial Surgeon with 20 years of experience in Oral and Maxillofacial Surgery. He completed his graduation from Southern Illinois Univ School Of Dental Medicine in 2004. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. His current practice location is 3112 Village Office Pl, Champaign. Patients can reach him at 217-351-7111.
Theron Waisath 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:
Theron Waisath 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:
Theron Waisath
Specialization:
Oral and Maxillofacial Surgeon
Gender:
Male
Credentials:
DMD
Experience:
20+ years
Medical School Attended:
Southern Illinois Univ School Of Dental Medicine
Graduation Year:
2004
Accepts Medicare Assignment:
Yes
Practice Address:
3112 Village Office Pl, Champaign, Illinois, 61822-7680
Phone:
217-351-7111
Fax:
217-351-7282
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:
0446433759
Enrollment ID:
I20110324000222
NPI Number:
1144423963
NPI Enumeration Date:
08 Jun, 2007
NPI Last Update On:
23 Jul, 2009
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 Theron Waisath 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
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:
3112 Village Office Pl, Champaign, Illinois
Zip:
61822-7680
Phone Number:
217-351-7111
Fax Number:
217-351-7282
Patients can reach Theron Waisath at 3112 Village Office Pl, Champaign, Illinois or can call to book an appointment on 217-351-7111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.