Jose Marcelino J Donato Tana, MD in Pago Pago, AS

Jose Marcelino J Donato Tana, MD is a medicare enrolled "Ophthalmology" physician in Pago Pago, American Samoa. His current practice location is 96799 Turner Drive, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at (684) 633-1222.

Jose Marcelino J Donato Tana is licensed to practice in American Samoa (license number 4090C) 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 1174026850.

Contact Information

	Jose Marcelino J Donato Tana, MD
	96799 Turner Drive, Pago Pago, AS 96799
	(684) 633-1222
	(684) 633-2893

Map and Direction

Physician's Profile

Full Name	Jose Marcelino J Donato Tana
Gender	Male
Speciality	Ophthalmology
Location	96799 Turner Drive, Pago Pago, American Samoa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174026850
Provider Enumeration Date: 03/09/2018
Last Update Date: 03/09/2018

Medicare PECOS Information:

PECOS PAC ID: 0345691432
Enrollment ID: I20240112003683

Medical Identifiers

Medical identifiers for Jose Marcelino J Donato Tana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174026850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	4090C (American Samoa)	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. Jose Marcelino J Donato Tana allows following entities to bill medicare on his behalf.

Entity Name	American Samoa Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464

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. Jose Marcelino J Donato Tana 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
Jose Marcelino J Donato Tana, MD Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222	Jose Marcelino J Donato Tana, MD 96799 Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222

Reviews and Comments

Ophthalmology Doctors in Pago Pago, AS

Dr. Benjamin Dave Siatu'u, MBBS Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Dr Paul Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1839
Dr. Rabebe Tekeraoi, MBBS, PGDIP &MMEDOPH Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1 Paul Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1839

Jose Marcelino J Donato Tana, MD - Medicare Ophthalmology in Pago Pago, AS