Dr Cyril Etta Tabe, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Minot, North Dakota. He went to Howard University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Vohra Wound Physicians Of The West Pc and his current practice location is
101 3rd Ave Sw, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 857-3655.
Dr Cyril Etta Tabe is licensed to practice in North Dakota (license number 10459) 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 1558457135.
Physician's Profile
| Full Name | Dr Cyril Etta Tabe |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 25 Years |
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| Location | 101 3rd Ave Sw, Minot, North Dakota |
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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:
- Dr Cyril Etta Tabe attended and graduated from Howard University College Of Medicine in 1999
NPI Data:
- NPI Number: 1558457135
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183624125
- Enrollment ID: I20221207003118
Medical Identifiers
Medical identifiers for Dr Cyril Etta Tabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558457135 | NPI | - | NPPES |
| 18307230 | Medicaid | NM | |
| 14089 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD2009-0696 (New Mexico) | Secondary |
| 208600000X | Surgery | 10459 (North Dakota) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01089362A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 282203 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD2009-0696 (New Mexico) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C145282 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 10459 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vohra Wound Physicians Of The West Pc | 5890931331 | 20 |
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 Cyril Etta Tabe allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134161151
PECOS PAC ID: 5799694063
Enrollment ID: O20031118000075 |
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| Entity Name | St Lukes Methodist Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073553939
PECOS PAC ID: 6608786751
Enrollment ID: O20040204000942 |
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| Entity Name | Vohra Wound Physicians Of The West Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205176096
PECOS PAC ID: 5890931331
Enrollment ID: O20201230000094 |
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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 Cyril Etta Tabe 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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Dr Cyril Etta Tabe, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Dr Cyril Etta Tabe, MD
101 3rd Ave Sw,
Minot, ND 58701-3880
Ph: (701) 857-3655 |
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