Dr Tisha Gayette Dellos, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Mount Vernon, Ohio. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Osu Pathology Services, Llc and her current practice location is
1330 Coshocton Ave, Mount Vernon, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 393-9770.
Dr Tisha Gayette Dellos is licensed to practice in Ohio (license number 34.008976) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033361712.
Physician's Profile
| Full Name | Dr Tisha Gayette Dellos |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 21 Years |
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| Location | 1330 Coshocton Ave, Mount Vernon, Ohio |
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| Accepts Medicare Assignments | Yes. She 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 Tisha Gayette Dellos attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2003
NPI Data:
- NPI Number: 1033361712
- Provider Enumeration Date: 10/14/2008
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 8628129293
- Enrollment ID: I20090623000266
Medical Identifiers
Medical identifiers for Dr Tisha Gayette Dellos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033361712 | NPI | - | NPPES |
| 2938558 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 34.008976 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osu Pathology Services, Llc | 4587569983 | 58 |
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 Tisha Gayette Dellos allows following entities to bill medicare on her behalf.
| Entity Name | Osu Pathology Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083713820
PECOS PAC ID: 4587569983
Enrollment ID: O20031126000571 |
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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 Tisha Gayette Dellos 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 Tisha Gayette Dellos, DO
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559
Ph: (740) 393-9770 | Dr Tisha Gayette Dellos, DO
1330 Coshocton Ave,
Mount Vernon, OH 43050-1440
Ph: (740) 393-9770 |
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