Dr Bi A Tadzong-fomundam, MD in Myrtle Beach, SC

Dr Bi A Tadzong-fomundam, MD is a medicare enrolled "Dermatology" physician in Myrtle Beach, South Carolina. She went to Pennsylvania State University College Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Preventive Medicine. She is a member of the group practice Waccamaw Dermatology Llc and her current practice location is 8170 Rourk St Ste 100, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 449-0453.

Dr Bi A Tadzong-fomundam is licensed to practice in South Carolina (license number MD36542) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710148648.

Contact Information

	Dr Bi A Tadzong-fomundam, MD
	8170 Rourk St Ste 100, Myrtle Beach, SC 29572-4127
	(843) 449-0453
	(843) 449-9531

Map and Direction

Physician's Profile

Full Name	Dr Bi A Tadzong-fomundam
Gender	Female
Speciality	Preventive Medicine
Experience	20 Years
Location	8170 Rourk St Ste 100, Myrtle Beach, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bi A Tadzong-fomundam attended and graduated from Pennsylvania State University College Of Medicine in 2005

NPI Data:

NPI Number: 1710148648
Provider Enumeration Date: 06/23/2008
Last Update Date: 04/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1850617770
Enrollment ID: I20150311001329

Medical Identifiers

Medical identifiers for Dr Bi A Tadzong-fomundam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710148648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	MD36542 (South Carolina)	Secondary
207N00000X	Dermatology	MD36542 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Waccamaw Dermatology Llc	7315021169	15

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 Bi A Tadzong-fomundam allows following entities to bill medicare on her behalf.

Entity Name	Sandhills Medical Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326

Entity Name	Waccamaw Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962449181 PECOS PAC ID: 7315021169 Enrollment ID: O20080303000763

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 Bi A Tadzong-fomundam 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 Bi A Tadzong-fomundam, MD 3185 Bramble Glen Dr, Myrtle Beach, SC 29579-4328 Ph: (843) 455-3585	Dr Bi A Tadzong-fomundam, MD 8170 Rourk St Ste 100, Myrtle Beach, SC 29572-4127 Ph: (843) 449-0453

Reviews and Comments

Dermatology Doctors in Myrtle Beach, SC

Dr. Joan M Wiss, MD Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Circle, Myrtle Beach, SC 29572 Phone: 843-449-0453 Fax: 843-282-1910
Dr. Robert Scott Purvis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211
Richard Joseph Lucariello, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5046 Highway 17 Byp S Ste 200, Myrtle Beach, SC 29588 Phone: 843-449-0453
Dr. Michael Robert Centilli, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Village Center Blvd Ste 200, Myrtle Beach, SC 29579 Phone: 843-738-0500 Fax: 437-380-5058
Christopher Brian Skvarka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3001 Newcastle Loop, Attn: Lisa Bass, Myrtle Beach, SC 29588 Phone: 843-215-1100 Fax: 843-215-1211
Daniel B Ward Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8208 Devon Ct, Suite B, Myrtle Beach, SC 29572 Phone: 866-985-3376 Fax: 843-839-2464
Taylor Todd, NP-C Dermatology Medicare: Medicare Enrolled Practice Location: 917 Medical Cir, Myrtle Beach, SC 29572 Phone: 843-449-0453

Dr Bi A Tadzong-fomundam, MD - Medicare Preventive Medicine in Myrtle Beach, SC