Edward Gale Loy Tautjo, MD in Charlotte, NC

Edward Gale Loy Tautjo, MD is a medicare enrolled "Hospitalist" physician in Charlotte, North Carolina. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Novant Medical Group Inc and his current practice location is 200 Hawthorne Ln, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 384-5416.

Edward Gale Loy Tautjo is licensed to practice in North Carolina (license number 9701614) 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 1790786283.

Contact Information

	Edward Gale Loy Tautjo, MD
	200 Hawthorne Ln, Charlotte, NC 28204-2515
	(704) 384-5416
	(704) 384-5992

Map and Direction

Physician's Profile

Full Name	Edward Gale Loy Tautjo
Gender	Male
Speciality	Hospitalist
Experience	32 Years
Location	200 Hawthorne Ln, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Gale Loy Tautjo graduated from medical school in 1992

NPI Data:

NPI Number: 1790786283
Provider Enumeration Date: 08/09/2005
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8022901420
Enrollment ID: I20040207000074

Medical Identifiers

Medical identifiers for Edward Gale Loy Tautjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790786283	NPI	-	NPPES
195808	Medicaid	SC
891354Y	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	009701614 (North Carolina)	Secondary
208M00000X	Hospitalist	9701614 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Huntersville Medical Center	Huntersville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Edward Gale Loy Tautjo allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	The Presbyterian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121

Entity Name	Novant Health Matthews Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445

Entity Name	Novant Health Mint Hill Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540

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. Edward Gale Loy Tautjo 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
Edward Gale Loy Tautjo, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-5416	Edward Gale Loy Tautjo, MD 200 Hawthorne Ln, Charlotte, NC 28204-2515 Ph: (704) 384-5416

Reviews and Comments

Hospitalist Doctors in Charlotte, NC

Shakuntala Mathapati, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720
Nicole A. Cagle Richardson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
David Jerret Pubantz, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211 Phone: 704-381-0500
Joshua Lee Eichenberger, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720
Stefanie Rose Reed, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840
Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241
Thanigaiarsu Thiyagarajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4475

Edward Gale Loy Tautjo, MD - Medicare Hospitalist in Charlotte, NC