Benjamin Tate Jr, MS, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Granville, Ohio. Benjamin Tate Jr is licensed to practice in Ohio (license number AT004792) and his current practice location is 100 W College St, Granville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 587-5063.
NPI number for Benjamin Tate Jr is 1477170603 and his current mailing address is 126 Andover Rd Apt C, Heath, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477170603.
Physician's Profile
Full Name | Benjamin Tate Jr |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 100 W College St, Granville, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477170603
- Provider Enumeration Date: 07/04/2020
- Last Update Date: 07/04/2020
Medical Identifiers
Medical identifiers for Benjamin Tate Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477170603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT004792 (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. Benjamin Tate Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Benjamin Tate Jr, MS, ATC 126 Andover Rd Apt C, Heath, OH 43056-1394 Ph: (814) 823-2482 | Benjamin Tate Jr, MS, ATC 100 W College St, Granville, OH 43023-1100 Ph: (740) 587-5063 |
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