Dr Thaer Daifallah, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Kansas City, Missouri. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice University Health Physicians and his current practice location is
2101 Charlotte St, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 404-0500.
Dr Thaer Daifallah is licensed to practice in Missouri (license number 2009013156) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699901868.
Healthcare Provider's Profile
| Full Name | Dr Thaer Daifallah |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 15 Years |
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| Location | 2101 Charlotte St, Kansas City, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thaer Daifallah attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2009
NPI Data:
- NPI Number: 1699901868
- Provider Enumeration Date: 06/02/2009
- Last Update Date: 11/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072665595
- Enrollment ID: I20090715000029
Medical Identifiers
Medical identifiers for Dr Thaer Daifallah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699901868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2009013156 (Missouri) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 60883 (Kansas) | Secondary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 2009013156 (Missouri) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2009013156 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Health Physicians | 1153235825 | 296 |
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 Thaer Daifallah allows following entities to bill medicare on his behalf.
| Entity Name | University Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669456257
PECOS PAC ID: 1153235825
Enrollment ID: O20031117000701 |
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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 Thaer Daifallah 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 Thaer Daifallah, DDS
2301 Holmes St,
Kansas City, MO 64108-2640
Ph: (816) 404-0500 | Dr Thaer Daifallah, DDS
2101 Charlotte St,
Kansas City, MO 64108-2727
Ph: (816) 404-0500 |
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