Tamar Gubeladze, MD is a medicare enrolled "Hospitalist" physician in Jefferson City, Missouri. Her current practice location is
1125 Madison St, Jefferson City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 632-5000.
Tamar Gubeladze is licensed to practice in Missouri (license number 2021021624) 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 1982199840.
Physician's Profile
Full Name | Tamar Gubeladze |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 1125 Madison St, Jefferson City, Missouri |
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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: 1982199840
- Provider Enumeration Date: 06/24/2018
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971852427
- Enrollment ID: I20210802003625
Medical Identifiers
Medical identifiers for Tamar Gubeladze such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982199840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2021021624 (Missouri) | Secondary |
208M00000X | Hospitalist | 2021021624 (Missouri) | 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. Tamar Gubeladze allows following entities to bill medicare on her behalf.
Entity Name | The Curators Of The University Of Missouri |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
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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. Tamar Gubeladze 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 |
Tamar Gubeladze, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Tamar Gubeladze, MD 1125 Madison St, Jefferson City, MO 65101-5227 Ph: (573) 632-5000 |
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