Tai Iwamura, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Dunwoody, Georgia. His current practice location is
4410 Charleston Pl, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 633-8203.
Tai Iwamura is licensed to practice in Georgia (license number 8172) 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 1437514239.
Physician's Profile
Full Name | Tai Iwamura |
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Gender | Male |
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Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Location | 4410 Charleston Pl, Dunwoody, Georgia |
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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: 1437514239
- Provider Enumeration Date: 12/21/2015
- Last Update Date: 12/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 4385946367
- Enrollment ID: I20160107001922
Medical Identifiers
Medical identifiers for Tai Iwamura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437514239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 8172 (Georgia) | Primary |
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. Tai Iwamura 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 |
Tai Iwamura, MD 4410 Charleston Pl, Dunwoody, GA 30338-6463 Ph: (770) 633-8203 | Tai Iwamura, MD 4410 Charleston Pl, Dunwoody, GA 30338-6463 Ph: (770) 633-8203 |
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