Borna Ethan Tabibian, MD is a medicare enrolled "Neurological Surgery" physician in Round Rock, Texas. His current practice location is
301 Seton Pkwy Ste 402, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 810-3080.
Borna Ethan Tabibian is licensed to practice in Texas (license number U4646) 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 1295199685.
Physician's Profile
Full Name | Borna Ethan Tabibian |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 301 Seton Pkwy Ste 402, Round Rock, Texas |
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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: 1295199685
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305134164
- Enrollment ID: I20230821001191
Medical Identifiers
Medical identifiers for Borna Ethan Tabibian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295199685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | U4646 (Texas) | 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. Borna Ethan Tabibian allows following entities to bill medicare on his behalf.
Entity Name | Seton Family Of Doctors |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
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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. Borna Ethan Tabibian 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 |
Borna Ethan Tabibian, MD 301 Seton Pkwy Ste 402, Round Rock, TX 78665-8003 Ph: (512) 810-3080 | Borna Ethan Tabibian, MD 301 Seton Pkwy Ste 402, Round Rock, TX 78665-8003 Ph: (512) 810-3080 |
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