Dr Tanvir Mahtab, MD is a medicare enrolled "General Practice" physician in Orangeburg, South Carolina. His current practice location is
3310 Magnolia St, Orangeburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 531-6900.
Dr Tanvir Mahtab is licensed to practice in South Carolina (license number 28238) 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 1528234473.
Physician's Profile
| Full Name | Dr Tanvir Mahtab |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 3310 Magnolia St, Orangeburg, South Carolina |
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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: 1528234473
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678885225
- Enrollment ID: I20150709003125
Medical Identifiers
Medical identifiers for Dr Tanvir Mahtab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528234473 | NPI | - | NPPES |
| 28238 | Other | SC | SC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 28238 (South Carolina) | 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 Tanvir Mahtab allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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 Tanvir Mahtab 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 Tanvir Mahtab, MD
3310 Magnolia St,
Orangeburg, SC 29115-1466
Ph: (803) 531-6900 | Dr Tanvir Mahtab, MD
3310 Magnolia St,
Orangeburg, SC 29115-1466
Ph: (803) 531-6900 |
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