Dr Eran Tallis, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Rochester, New York. His current practice location is
601 Elmwood Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 275-5857.
Dr Eran Tallis is licensed to practice in New York (license number 317897) 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 1164957437.
Physician's Profile
| Full Name | Dr Eran Tallis |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 601 Elmwood Ave, Rochester, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164957437
- Provider Enumeration Date: 04/25/2017
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547641128
- Enrollment ID: I20220713002575
Medical Identifiers
Medical identifiers for Dr Eran Tallis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164957437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 1-29378 (ZZ) | Secondary |
| 207RH0000X | Internal Medicine - Hematology | 1-2717 (ZZ) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | BP10058924 (Texas) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 317897 (New York) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 317897 (New York) | 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 Eran Tallis allows following entities to bill medicare on his behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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| Entity Name | Regional Program For Prentatal Detection |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164451803
PECOS PAC ID: 4486627288
Enrollment ID: O20040819000147 |
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| Entity Name | Medical Specialty Group Dept Of |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235183765
PECOS PAC ID: 6901846294
Enrollment ID: O20050505000801 |
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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 Eran Tallis 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 Eran Tallis, MD
601 Elmwood Ave Box 635,
Rochester, NY 14642-0001
Ph: (585) 275-5857 | Dr Eran Tallis, MD
601 Elmwood Ave,
Rochester, NY 14642-0001
Ph: (585) 275-5857 |
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