Dr Beng Loong Isaac Tea, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Grand Forms, North Dakota. His current practice location is
1300 S Columbia Rd, Grand Forms, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 780-5000.
Dr Beng Loong Isaac Tea is licensed to practice in North Dakota (license number 18531) 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 1013392356.
Physician's Profile
Full Name | Dr Beng Loong Isaac Tea |
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Gender | Male |
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Speciality | Internal Medicine - Cardiovascular Disease |
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Location | 1300 S Columbia Rd, Grand Forms, North Dakota |
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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: 1013392356
- Provider Enumeration Date: 07/28/2015
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 9335428812
- Enrollment ID: I20220928003125
Medical Identifiers
Medical identifiers for Dr Beng Loong Isaac Tea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013392356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0011X | Internal Medicine - Interventional Cardiology | 18531 (North Dakota) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 18531 (North Dakota) | 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. Dr Beng Loong Isaac Tea allows following entities to bill medicare on his behalf.
Entity Name | Altru Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
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Entity Name | Northwood Deaconess Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356449136 PECOS PAC ID: 1052207057 Enrollment ID: O20040226000123 |
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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. Dr Beng Loong Isaac Tea 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 |
Dr Beng Loong Isaac Tea, MD 2401 Demers Ave, Grand Forms, ND 58201 Ph: (701) 780-1891 | Dr Beng Loong Isaac Tea, MD 1300 S Columbia Rd, Grand Forms, ND 58201 Ph: (701) 780-5000 |
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