Tam Nguyen, DO is a medicare enrolled "Dermatology" physician in Menasha, Wisconsin. His current practice location is
1550 Midway Pl, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 738-2000.
Tam Nguyen is licensed to practice in Wisconsin (license number 81269) 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 1619437365.
Physician's Profile
Full Name | Tam Nguyen |
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Gender | Male |
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Speciality | Dermatology |
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Location | 1550 Midway Pl, Menasha, Wisconsin |
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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: 1619437365
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779912183
- Enrollment ID: I20240605002213
Medical Identifiers
Medical identifiers for Tam Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619437365 | NPI | - | NPPES |
100281230 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 81269 (Wisconsin) | 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. Tam Nguyen allows following entities to bill medicare on his behalf.
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
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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. Tam 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 Nguyen, DO 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 738-2000 | Tam Nguyen, DO 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 738-2000 |
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