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.
Physician's Profile
Full Name | Dr Dathan Tsosie |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 129 Medicine Horse Drive, To'hajiilee, New Mexico |
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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: 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.
Identifier | Type | State | Issuer |
1174151914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family 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 Name | Canoncito Band Of Navajos Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578010070 PECOS PAC ID: 8325321235 Enrollment ID: O20170425001197 |
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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 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 Address | Practice 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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