Dr Marc C Van Tassell, DDS is a medicare enrolled "Dentist" provider in Ely, Nevada. His current practice location is
1304 E Aultman St, Ely, Nevada. You can reach out to his office (for appointments etc.) via phone at
(775) 289-6166.
Dr Marc C Van Tassell is licensed to practice in Utah (license number 4743125-9922) 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 1255303723.
Healthcare Provider's Profile
Full Name | Dr Marc C Van Tassell |
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Gender | Male |
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Speciality | Dentist |
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Location | 1304 E Aultman St, Ely, Nevada |
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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: 1255303723
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 04/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 7911205653
- Enrollment ID: I20160414000253
Medical Identifiers
Medical identifiers for Dr Marc C Van Tassell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255303723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4743125-9922 (Utah) | 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. Dr Marc C Van Tassell 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 Marc C Van Tassell, DDS 1304 E Aultman St, Ely, NV 89301-2513 Ph: (775) 289-6166 | Dr Marc C Van Tassell, DDS 1304 E Aultman St, Ely, NV 89301-2513 Ph: (775) 289-6166 |
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