David Lee Tolliver, DO is a medicare enrolled "Dermatology" physician in Bluefield, Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Derm One Pllc, Derm One Pllc and his current practice location is
110 Huffard Dr, Bluefield, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 326-3376.
David Lee Tolliver is licensed to practice in Virginia (license number 0102050026) 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 1831176296.
Physician's Profile
| Full Name | David Lee Tolliver |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 36 Years |
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| Location | 110 Huffard Dr, Bluefield, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Lee Tolliver attended and graduated from West Virginia School Of Osteopathic Medicine in 1988
NPI Data:
- NPI Number: 1831176296
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 09/04/2009
Medicare PECOS Information:
- PECOS PAC ID: 0042124273
- Enrollment ID: I20040415000852
Medical Identifiers
Medical identifiers for David Lee Tolliver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831176296 | NPI | - | NPPES |
| 010043565 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 0102050026 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Derm One Pllc | 9638161821 | 9 |
| Derm One Pllc | 9638161821 | 9 |
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. David Lee Tolliver allows following entities to bill medicare on his behalf.
| Entity Name | Derm One Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053493288
PECOS PAC ID: 9638161821
Enrollment ID: O20040330001198 |
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| Entity Name | Integrated Dermatology Of Bluefield Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902474422
PECOS PAC ID: 6800291360
Enrollment ID: O20211123000183 |
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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. David Lee Tolliver 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 |
|---|
David Lee Tolliver, DO
110 Huffard Dr,
Bluefield, VA 24605-9209
Ph: (276) 326-3376 | David Lee Tolliver, DO
110 Huffard Dr,
Bluefield, VA 24605-9209
Ph: (276) 326-3376 |
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