Dr Thai Son Dang, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fairfield, New Jersey. His current practice location is
700 Us Highway 46 Ste 420, Fairfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 882-3456.
Dr Thai Son Dang is licensed to practice in New Jersey (license number 25MB11790500) 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 1023514122.
Physician's Profile
| Full Name | Dr Thai Son Dang |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 700 Us Highway 46 Ste 420, Fairfield, New Jersey |
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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: 1023514122
- Provider Enumeration Date: 04/05/2018
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648667030
- Enrollment ID: I20230630000993
Medical Identifiers
Medical identifiers for Dr Thai Son Dang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023514122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | DO.3252 (Alabama) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | OS20102 (Florida) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 322669 (New York) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2023-00671 (North Carolina) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 2084N0400X (South Carolina) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 14252 (South Dakota) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 0102207846 (Virginia) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MB11790500 (New Jersey) | 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 Thai Son Dang allows following entities to bill medicare on his behalf.
| Entity Name | Neuroshield Network Se Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538600606
PECOS PAC ID: 7719243492
Enrollment ID: O20190125003068 |
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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 Thai Son Dang 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 Thai Son Dang, DO
1180 N Indian Canyon Dr,
Palm Springs, CA 92262-4800
Ph: (714) 791-4788 | Dr Thai Son Dang, DO
700 Us Highway 46 Ste 420,
Fairfield, NJ 07004-1532
Ph: (973) 882-3456 |
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