Theodore John Willmann, DDS is a medicare enrolled "Dentist - General Practice" provider in Saint Henry, Ohio. His current practice location is
570 E Kremer Hoying Rd # D, Saint Henry, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 678-8000.
Theodore John Willmann is licensed to practice in Ohio (license number 16658) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013048362.
Healthcare Provider's Profile
Full Name | Theodore John Willmann |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 570 E Kremer Hoying Rd # D, Saint Henry, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013048362
- Provider Enumeration Date: 03/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921323817
- Enrollment ID: I20150218000353
Medical Identifiers
Medical identifiers for Theodore John Willmann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013048362 | NPI | - | NPPES |
16658 | Other | OH | DENTAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 16658 (Ohio) | 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. Theodore John Willmann 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 |
Theodore John Willmann, DDS 570 E Kremer Hoying Rd # D, Saint Henry, OH 45883-9613 Ph: (419) 678-8000 | Theodore John Willmann, DDS 570 E Kremer Hoying Rd # D, Saint Henry, OH 45883-9613 Ph: (419) 678-8000 |
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