Dr Radford Douglas Tanksley, MD is a medicare enrolled "Dermatology" physician in Norwich, Connecticut. He went to University Of Mississippi School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Advanced Dermatology Llc and his current practice location is
111 Salem Tpke, Suite 7, Norwich, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 859-2262.
Dr Radford Douglas Tanksley is licensed to practice in Connecticut (license number 030170) 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 1629041728.
Physician's Profile
| Full Name | Dr Radford Douglas Tanksley |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 47 Years |
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| Location | 111 Salem Tpke, Norwich, Connecticut |
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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 Radford Douglas Tanksley attended and graduated from University Of Mississippi School Of Medicine in 1977
NPI Data:
- NPI Number: 1629041728
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 08/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 9638194186
- Enrollment ID: I20051013000337
Medical Identifiers
Medical identifiers for Dr Radford Douglas Tanksley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629041728 | NPI | - | NPPES |
| P00332772 | Other | CT | RAILROAD |
| 010030170CT02 | Other | CT | ANTHEM BCBS |
| 030170 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 030170 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Dermatology Llc | 5092706945 | 9 |
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 Radford Douglas Tanksley allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609892298
PECOS PAC ID: 5092706945
Enrollment ID: O20040520000408 |
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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 Radford Douglas Tanksley 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 Radford Douglas Tanksley, MD
111 Salem Tpke, Suite 7,
Norwich, CT 06360-6459
Ph: (860) 859-2262 | Dr Radford Douglas Tanksley, MD
111 Salem Tpke, Suite 7,
Norwich, CT 06360-6459
Ph: (860) 859-2262 |
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