Dr Philip R Banghart, DDS | |
102 Professional Plz, Mattoon, IL 61938-9252 | |
(217) 345-7070 | |
(217) 345-7077 |
Full Name | Dr Philip R Banghart |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 36 Years |
Location | 102 Professional Plz, Mattoon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982609087 | NPI | - | NPPES |
019-021176 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019-021176 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliates In Oral And Maxillofacial Surgery Ltd | 0345309779 | 2 |
Entity Name | Affiliates In Oral & Maxillofacial Surgery Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215196290 PECOS PAC ID: 0345309779 Enrollment ID: O20081030000231 |
Mailing Address | Practice Location Address |
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Dr Philip R Banghart, DDS 102 Professional Plz, Mattoon, IL 61938-9252 Ph: (217) 345-7070 | Dr Philip R Banghart, DDS 102 Professional Plz, Mattoon, IL 61938-9252 Ph: (217) 345-7070 |
Dr. Jennifer A Kennedy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0556 | |
Dr. Philip B. Kepp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0556 Fax: 217-234-7243 | |
Dr. Khin W Laij, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1521 Wabash Ave, Mattoon, IL 61938 Phone: 217-235-5496 Fax: 217-234-6956 | |
Dr. Myles Jordan Hastings, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1017 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0381 Fax: 217-235-0396 | |
Christopher William Painton, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1011 Charleston Ave E, Mattoon, IL 61938 Phone: 217-235-5900 | |
Gregory George Yount, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 Richmond Ave E, Mattoon, IL 61938 Phone: 217-235-0435 Fax: 217-234-3418 | |
Dr. Lily K Laij, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1521 Wabash Ave, Mattoon, IL 61938 Phone: 217-235-5496 Fax: 217-234-6956 |