Tarun Ganguly, DO is a medicare enrolled "Family Medicine" physician in Joint Base Mdl, New Jersey. His current practice location is
3458 Neely Rd, Joint Base Mdl, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 754-9414.
Tarun Ganguly is licensed to practice in New Jersey (license number 25) 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 1144259912.
Physician's Profile
| Full Name | Tarun Ganguly |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 3458 Neely Rd, Joint Base Mdl, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144259912
- Provider Enumeration Date: 07/02/2006
- Last Update Date: 01/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577559913
- Enrollment ID: I20240531002081
Medical Identifiers
Medical identifiers for Tarun Ganguly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144259912 | NPI | - | NPPES |
| 8197105 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MB65193 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | MB65193 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 25 (New Jersey) | 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. Tarun Ganguly allows following entities to bill medicare on his behalf.
| Entity Name | Dallas County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831198506
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583 |
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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. Tarun Ganguly 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 |
|---|
Tarun Ganguly, DO
3458 Neely Rd,
Jb Mdl, NJ 08641-5312
Ph: (609) 754-9014 | Tarun Ganguly, DO
3458 Neely Rd,
Joint Base Mdl, NJ 08641-5312
Ph: (609) 754-9414 |
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