Durina Tah, LCSW is a medicare enrolled "Social Worker" provider in Chandler, Arizona. Her current practice location is
3208 N Salida Del Sol, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 453-6489.
Durina Tah is licensed to practice in Arizona (license number LCSW18085) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104400548.
Healthcare Provider's Profile
Full Name | Durina Tah |
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Gender | Female |
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Speciality | Social Worker |
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Location | 3208 N Salida Del Sol, Chandler, Arizona |
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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: 1104400548
- Provider Enumeration Date: 05/11/2021
- Last Update Date: 03/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527437110
- Enrollment ID: I20221202000835
Medical Identifiers
Medical identifiers for Durina Tah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104400548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW-18085 (Arizona) | Secondary |
104100000X | Social Worker | LCSW18085 (Arizona) | Primary |
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. Durina Tah allows following entities to bill medicare on her behalf.
Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797 |
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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. Durina Tah 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 |
Durina Tah, LCSW Po Box 7633, Chandler, AZ 85246-7633 Ph: () - | Durina Tah, LCSW 3208 N Salida Del Sol, Chandler, AZ 85224-1260 Ph: (480) 453-6489 |
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