Tam Bao Nguyen, MD MSPH DIPABLM is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tyler, Texas. His current practice location is
11937 Us Highway 271, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 877-7200.
Tam Bao Nguyen is licensed to practice in Texas (license number S0200) 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 1922430214.
Physician's Profile
Full Name | Tam Bao Nguyen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11937 Us Highway 271, Tyler, Texas |
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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: 1922430214
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678017563
- Enrollment ID: I20240702003723
Medical Identifiers
Medical identifiers for Tam Bao Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922430214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 75739 (Georgia) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | S0200 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | S0200 (Texas) | 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. Tam Bao Nguyen 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 |
Tam Bao Nguyen, MD MSPH DIPABLM 2659 Abutment Rd, Dalton, GA 30721-4887 Ph: (706) 598-6700 | Tam Bao Nguyen, MD MSPH DIPABLM 11937 Us Highway 271, Tyler, TX 75708-3154 Ph: (903) 877-7200 |
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