Clifton Tatum, MD in Louisville, KY

Clifton Tatum, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Louisville, Kentucky. His current practice location is 200 E Gray St, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 629-7601.

Clifton Tatum is licensed to practice in Kentucky (license number 26863) 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 1366440687.

Contact Information

	Clifton Tatum, MD
	200 E Gray St, Louisville, KY 40202-2012
	(502) 629-7601
	Not Available

Map and Direction

Physician's Profile

Full Name	Clifton Tatum
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	200 E Gray St, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366440687
Provider Enumeration Date: 07/11/2005
Last Update Date: 01/25/2013

Medicare PECOS Information:

PECOS PAC ID: 7911810148
Enrollment ID: I20031112000436

Medical Identifiers

Medical identifiers for Clifton Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366440687	NPI	-	NPPES
100356810A	Medicaid	IN
1052796	Other	KY	PASSPORT
50005985	Other	KY	PASSPORT
64268634	Medicaid	KY
000000308613	Other	KY	BC BS
000000050041	Other	KY	BC BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	26863 (Kentucky)	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. Clifton Tatum allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Imaging Alliance Of Louisville Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396765509 PECOS PAC ID: 1951214220 Enrollment ID: O20031112000110

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. Clifton Tatum 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
Clifton Tatum, MD 234 E Gray St, Suite 850, Louisville, KY 40202-1900 Ph: (502) 585-1735	Clifton Tatum, MD 200 E Gray St, Louisville, KY 40202-2012 Ph: (502) 629-7601

Reviews and Comments

Radiology Doctors in Louisville, KY

Dr. Sohail Contractor, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-5875
Dr. Mark S Cornett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway, Louisville, KY 40202 Phone: 502-629-2500 Fax: 502-629-3165
Dr. Christopher Blair Cornell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Audubon Plaza Dr # 276, Louisville, KY 40217 Phone: 502-447-8786 Fax: 502-447-8623
Dr. Andrew John Collins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St # C07, Louisville, KY 40202 Phone: 502-852-5875
Dr. Cynthia H Hart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Abraham Flexner Way, Louisville, KY 40202 Phone: 502-587-4231 Fax: 502-583-2733
Dr. Shannon Ogden Steed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4001 Dutchmans Ln # 276, Louisville, KY 40207 Phone: 502-447-8786 Fax: 502-447-8623
Theodore Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 502-629-7601

Clifton Tatum, MD - Medicare Radiology in Louisville, KY