Dominic Wai-ho Tam, MD is a medicare enrolled "Dermatology" physician in Strongsville, Ohio. His current practice location is
16000 Pearl Rd, # 208, Strongsville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 572-3020.
Dominic Wai-ho Tam is licensed to practice in Ohio (license number 35043641) 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 1598852501.
Physician's Profile
| Full Name | Dominic Wai-ho Tam |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 16000 Pearl Rd, Strongsville, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598852501
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 08/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406023084
- Enrollment ID: I20120125000472
Medical Identifiers
Medical identifiers for Dominic Wai-ho Tam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598852501 | NPI | - | NPPES |
| 0426640 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35043641 (Ohio) | 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. Dominic Wai-ho Tam allows following entities to bill medicare on his behalf.
| Entity Name | Dominic W Tam Md & Rose Cw Tam Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881781003
PECOS PAC ID: 4880861467
Enrollment ID: O20120123000512 |
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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. Dominic Wai-ho Tam 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 |
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Dominic Wai-ho Tam, MD
Po Box 39578,
Solon, OH 44139-0578
Ph: (440) 572-3020 | Dominic Wai-ho Tam, MD
16000 Pearl Rd, # 208,
Strongsville, OH 44136-6082
Ph: (440) 572-3020 |
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