Somonkul Alexander Tum, DMD is a medicare enrolled "Dentist" provider in Minerva, Ohio. His current practice location is
817 E Lincolnway, Minerva, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 868-5001.
Somonkul Alexander Tum is licensed to practice in Ohio (license number 30024638) 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 1639501117.
Healthcare Provider's Profile
Full Name | Somonkul Alexander Tum |
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Gender | Male |
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Speciality | Dentist |
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Location | 817 E Lincolnway, Minerva, 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: 1639501117
- Provider Enumeration Date: 08/06/2013
- Last Update Date: 02/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 5597063941
- Enrollment ID: I20160418002469
Medical Identifiers
Medical identifiers for Somonkul Alexander Tum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639501117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 63792 (California) | Secondary |
122300000X | Dentist | 30024638 (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. Somonkul Alexander Tum 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 |
Somonkul Alexander Tum, DMD 817 E Lincolnway, Minerva, OH 44657-1211 Ph: (330) 868-5001 | Somonkul Alexander Tum, DMD 817 E Lincolnway, Minerva, OH 44657-1211 Ph: (330) 868-5001 |
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