Dr Dathan Tsosie, MD - Medicare Family Medicine in To'hajiilee, NM

Dr Dathan Tsosie, MD is a medicare enrolled "Family Medicine" physician in To'hajiilee, New Mexico. His current practice location is 129 Medicine Horse Drive, To'hajiilee, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 908-2571.

Dr Dathan Tsosie is licensed to practice in New Mexico (license number MD2022-1471) 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 1174151914.

Contact Information

Dr Dathan Tsosie, MD
129 Medicine Horse Drive,
To'hajiilee, NM 87026
(505) 908-2571
(505) 908-2310

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Physician's Profile

Full NameDr Dathan Tsosie
GenderMale
SpecialityFamily Medicine
Location129 Medicine Horse Drive, To'hajiilee, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174151914
  • Provider Enumeration Date: 03/28/2020
  • Last Update Date: 07/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931526423
  • Enrollment ID: I20231114001874

Medical Identifiers

Medical identifiers for Dr Dathan Tsosie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174151914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD2022-1471 (New Mexico)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 Dathan Tsosie allows following entities to bill medicare on his behalf.
Entity NameCanoncito Band Of Navajos Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578010070
PECOS PAC ID: 8325321235
Enrollment ID: O20170425001197

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 Dathan Tsosie 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 AddressPractice Location Address
Dr Dathan Tsosie, MD
Po Box 3338,
Canoncito, NM 87026-3338

Ph: (505) 908-2571
Dr Dathan Tsosie, MD
129 Medicine Horse Drive,
To'hajiilee, NM 87026

Ph: (505) 908-2571

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Family Medicine Doctors in To'hajiilee, NM