Dr Andrew Thomas Mathis, DDS is a
Oral & Maxillofacial Surgery based in Apo, Armed Forces Pacific. Dr Andrew Thomas Mathis is licensed to practice in South Carolina (license number 9018) and his current practice location is
35 Ds/sgxd, Unit 5024, Apo, Armed Forces Pacific. He can be reached at his office (for appointments etc.) via phone at
(315) 226-6700.
NPI number for Dr Andrew Thomas Mathis is 1154858041 and his current mailing address is 1529 Shirley St, Columbia, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154858041.
Healthcare Provider's Profile
| Full Name | Dr Andrew Thomas Mathis |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 35 Ds/sgxd, Apo, Armed Forces Pacific |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154858041
- Provider Enumeration Date: 05/22/2017
- Last Update Date: 08/16/2023
Medical Identifiers
Medical identifiers for Dr Andrew Thomas Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154858041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9018 (South Carolina) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9018 (South Carolina) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 9018 (South Carolina) | Primary |
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 Andrew Thomas Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Andrew Thomas Mathis, DDS
1529 Shirley St,
Columbia, SC 29205-1443
Ph: () - | Dr Andrew Thomas Mathis, DDS
35 Ds/sgxd, Unit 5024,
Apo, AP 96319-5024
Ph: (315) 226-6700 |
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