Dr Warren Stuart Theis, MD is a medicare enrolled "General Practice" physician in Waycross, Georgia. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. His current practice location is
1405 Alice St, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 285-8822.
Dr Warren Stuart Theis is licensed to practice in Georgia (license number 055345) 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 1588658702.
Physician's Profile
| Full Name | Dr Warren Stuart Theis |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 24 Years |
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| Location | 1405 Alice St, Waycross, Georgia |
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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 Warren Stuart Theis graduated from medical school in 2000
NPI Data:
- NPI Number: 1588658702
- Provider Enumeration Date: 09/02/2005
- Last Update Date: 06/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 3274598479
- Enrollment ID: I20041130000505
Medical Identifiers
Medical identifiers for Dr Warren Stuart Theis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588658702 | NPI | - | NPPES |
| 67269005A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 055345 (Georgia) | Primary |
| 208D00000X | General Practice | 0101237160 (Virginia) | Secondary |
| 208D00000X | General Practice | A84102 (California) | Secondary |
| 208D00000X | General Practice | ME96329 (Florida) | Secondary |
Medical Facilities Affiliation
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 Warren Stuart Theis allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538367149
PECOS PAC ID: 8921062498
Enrollment ID: O20041115000734 |
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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 Warren Stuart Theis 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 Warren Stuart Theis, MD
1405 Alice St,
Waycross, GA 31501-4528
Ph: (912) 285-8822 | Dr Warren Stuart Theis, MD
1405 Alice St,
Waycross, GA 31501-4528
Ph: (912) 285-8822 |
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