Rodolphe Taby, MD in Lake Havasu City, AZ

Rodolphe Taby, MD is a medicare enrolled "Family Medicine" physician in Lake Havasu City, Arizona. His current practice location is 101 Civic Center Ln, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 855-8185.

Rodolphe Taby is licensed to practice in Arizona (license number 59752) 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 1710271697.

Contact Information

	Rodolphe Taby, MD
	101 Civic Center Ln, Lake Havasu City, AZ 86403-5683
	(928) 855-8185
	Not Available

Map and Direction

Physician's Profile

Full Name	Rodolphe Taby
Gender	Male
Speciality	Family Medicine
Location	101 Civic Center Ln, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710271697
Provider Enumeration Date: 06/08/2011
Last Update Date: 02/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8022233634
Enrollment ID: I20180822002763

Medical Identifiers

Medical identifiers for Rodolphe Taby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710271697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9527A (Wyoming)	Secondary
207Q00000X	Family Medicine	80985 (Georgia)	Secondary
208M00000X	Hospitalist	80985 (Georgia)	Secondary
208M00000X	Hospitalist	9527A (Wyoming)	Secondary
207Q00000X	Family Medicine	59752 (Arizona)	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. Rodolphe Taby allows following entities to bill medicare on his behalf.

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

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. Rodolphe Taby 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
Rodolphe Taby, MD 12603 N Fallen Shadows Dr, Marana, AZ 85658-4497 Ph: (832) 885-3499	Rodolphe Taby, MD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5683 Ph: (928) 855-8185

Reviews and Comments

Family Medicine Doctors in Lake Havasu City, AZ

Kristy M Whelan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522
Manu Lonial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403 Phone: 928-782-7972 Fax: 928-329-4522
Ashley Marie Mulder, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1987 Mcculloch Blvd N Ste 101, Lake Havasu City, AZ 86403 Phone: 928-733-6291 Fax: 928-733-6294
Kelli M Ward, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1847
Michael Stephen Rosen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522
Edmund M Mitchell I, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2035 Mesquite Avenue, Lake Havasu City, AZ 86403 Phone: 928-453-1101 Fax: 928-453-1171
Marie Annette Ohaver, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-412-8088 Fax: 928-412-8807

Rodolphe Taby, MD - Medicare Family Medicine in Lake Havasu City, AZ