Dr Thomas W Fonner, DMD in Effingham, IL - Medicare Maxillofacial Surgery Provider

Dr Thomas W Fonner, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Effingham, Illinois. He went to Southern Illinois Univ School Of Dental Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Maxillofacial Surgery. His current practice location is 100 Greenview Dr Ste B, Effingham, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 540-5348.

Dr Thomas W Fonner is licensed to practice in Illinois (license number 019-024942) 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 1205907581.

Contact Information

	Dr Thomas W Fonner, DMD
	100 Greenview Dr Ste B, Effingham, IL 62401-3048
	(217) 540-5348
	(217) 540-5360

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas W Fonner
Gender	Male
Speciality	Maxillofacial Surgery
Experience	30 Years
Location	100 Greenview Dr Ste B, Effingham, 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.

Medical Education and Training:

Dr Thomas W Fonner attended and graduated from Southern Illinois Univ School Of Dental Medicine in 1995

NPI Data:

NPI Number: 1205907581
Provider Enumeration Date: 11/10/2006
Last Update Date: 04/04/2018

Medicare PECOS Information:

PECOS PAC ID: 8921009069
Enrollment ID: I20070116000508

Medical Identifiers

Medical identifiers for Dr Thomas W Fonner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205907581	NPI	-	NPPES
1014426	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	019-024942 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sarah Bush Lincoln Health Center	Mattoon, IL	Hospital

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 Thomas W Fonner allows following entities to bill medicare on his behalf.

Entity Name	Central Illinois Oral And Maxillofacial Surgery, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669540399 PECOS PAC ID: 4486655529 Enrollment ID: O20070116000497

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 Thomas W Fonner 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 Thomas W Fonner, DMD 100 Greenview Dr Ste B, Effingham, IL 62401-3048 Ph: (217) 540-5348	Dr Thomas W Fonner, DMD 100 Greenview Dr Ste B, Effingham, IL 62401-3048 Ph: (217) 540-5348

Reviews and Comments

Dentist in Effingham, IL

Dr. Christopher V Balda, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 401 E Washington Ave, Effingham, IL 62401 Phone: 217-342-3411
Jacqueline Elizabeth Witherell, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr Ste 2, Effingham, IL 62401 Phone: 217-427-8058
Dr. Alisa Taylor, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Suite B, Effingham, IL 62401 Phone: 217-540-5800 Fax: 217-342-2557
Rachel Shepard, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100
Natalie Bentivegna, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-8386
Kourtney Utz, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 618-288-6699 Fax: 618-288-8977
Dr. Charles Allen Schumacher, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 602 Eden Drive, Effingham, IL 62401 Phone: 217-347-6453

Dr Thomas W Fonner, DMD - Medicare Dentist in Effingham, IL