Marjorie Osterwise Tavoularis, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Scottdale, Pennsylvania. Her current practice location is
1340 W Pittsburgh St, Scottdale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 771-2736.
Marjorie Osterwise Tavoularis is licensed to practice in Pennsylvania (license number MD009524E) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366529083.
Physician's Profile
Full Name | Marjorie Osterwise Tavoularis |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1340 W Pittsburgh St, Scottdale, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366529083
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 06/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 3173523651
- Enrollment ID: I20070106000105
Medical Identifiers
Medical identifiers for Marjorie Osterwise Tavoularis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366529083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | G056565 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD009524E (Pennsylvania) | 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. Marjorie Osterwise Tavoularis allows following entities to bill medicare on her behalf.
Entity Name | Wesley Family Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316450638 PECOS PAC ID: 7517206246 Enrollment ID: O20190225001787 |
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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. Marjorie Osterwise Tavoularis 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 |
Marjorie Osterwise Tavoularis, MD 1340 W Pittsburgh St, Scottdale, PA 15683-2600 Ph: (724) 220-2422 | Marjorie Osterwise Tavoularis, MD 1340 W Pittsburgh St, Scottdale, PA 15683-2600 Ph: (724) 771-2736 |
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