Dat Thanh Ta, MD - Medicare Emergency Medicine in Charlotte, NC

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Dat Thanh Ta, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to Rush Medical College Of Rush University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Pelham Medical Center, Spartanburg Medical Center, Vituity-south Carolina Llc and his current practice location is 10628 Park Rd, Emergency Department, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (877) 678-0949.

Dat Thanh Ta is licensed to practice in North Carolina (license number 2013-00142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194049049.

Contact Information

Dat Thanh Ta, MD
10628 Park Rd, Emergency Department,
Charlotte, NC 28210-8407
(877) 678-0949
Not Available

Map and Direction




Physician's Profile

Full NameDat Thanh Ta
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location10628 Park Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dat Thanh Ta attended and graduated from Rush Medical College Of Rush University in 2010
  NPI Data:
  • NPI Number: 1194049049
  • Provider Enumeration Date: 03/22/2010
  • Last Update Date: 03/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5193961712
  • Enrollment ID: I20171009003385

Medical Identifiers

Medical identifiers for Dat Thanh Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194049049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2013-00142 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis-downtownGreenville, SCHospital
Spartanburg Medical CenterSpartanburg, SCHospital
Pelham Medical CenterGreer, SCHospital
Cherokee Medical CenterGaffney, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pelham Medical Center2365519097137
Spartanburg Medical Center3072425297912
Vituity-south Carolina Llc569818852234

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. Dat Thanh Ta allows following entities to bill medicare on his behalf.
Entity NameSt Francis Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558305995
PECOS PAC ID: 3779487186
Enrollment ID: O20031126000091
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686
Entity NamePelham Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619133568
PECOS PAC ID: 2365519097
Enrollment ID: O20080923000329
Entity NameBon Secours Ambulatory Services - St. Francis, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124495643
PECOS PAC ID: 0840590931
Enrollment ID: O20151120002171
Entity NameVituity-south Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194328724
PECOS PAC ID: 5698188522
Enrollment ID: O20210113001571
Entity NameBon Secours Medical Group Greenville Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821679580
PECOS PAC ID: 1850779976
Enrollment ID: O20220602000070

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. Dat Thanh Ta 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 AddressPractice Location Address
Dat Thanh Ta, MD
10628 Park Rd, Emergency Department,
Charlotte, NC 28210-8407

Ph: (877) 678-0949		Dat Thanh Ta, MD
10628 Park Rd, Emergency Department,
Charlotte, NC 28210-8407

Ph: (877) 678-0949

Reviews and Comments


Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak,
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Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3658    
Jacob Leedekerken,
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Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    
Neha Ray, MD
Emergency Medicine
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Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047
John B Clark Jr., M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207
Phone: 704-377-2424    Fax: 704-377-2687
Nilesh K. Patel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2171    
Michael Stephen Merrill, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211
Phone: 704-377-2424    Fax: 704-377-2687
Brian Zachary Hedges, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203
Phone: 704-355-3181    Fax: 704-355-7047

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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