Dr Donald Ta, MD - Medicare Pediatrics in Clendenin, WV

Dr Donald Ta, MD is a medicare enrolled "Pediatrics" physician in Clendenin, West Virginia. His current practice location is 107 Koontz Ave, Clendenin, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 548-7272.

Dr Donald Ta is licensed to practice in West Virginia (license number 27153) 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 1376812008.

Contact Information

Dr Donald Ta, MD
107 Koontz Ave,
Clendenin, WV 25045-9578
(304) 548-7272
(304) 548-7149

Map and Direction




Physician's Profile

Full NameDr Donald Ta
GenderMale
SpecialityPediatrics
Location107 Koontz Ave, Clendenin, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376812008
  • Provider Enumeration Date: 12/27/2011
  • Last Update Date: 05/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597043281
  • Enrollment ID: I20161101000426

Medical Identifiers

Medical identifiers for Dr Donald Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376812008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 27153 (West Virginia)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 Donald Ta allows following entities to bill medicare on his behalf.
Entity NameCabin Creek Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096

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 Donald Ta 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 Donald Ta, MD
104 Alex Ln,
Charleston, WV 25304-2952

Ph: (304) 734-2040
Dr Donald Ta, MD
107 Koontz Ave,
Clendenin, WV 25045-9578

Ph: (304) 548-7272

Reviews and Comments


Pediatrics Doctors in Clendenin, WV


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.