Winifredo Salazar Tiangco, MD is a medicare enrolled "Otolaryngology" physician in Pago Pago, American Samoa. His current practice location is
11155 Turner Drive, Pago Pago, American Samoa. You can reach out to his office (for appointments etc.) via phone at
(684) 633-1222.
Winifredo Salazar Tiangco is licensed to practice in American Samoa (license number 5080C) 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 1356128680.
Physician's Profile
Full Name | Winifredo Salazar Tiangco |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 11155 Turner Drive, Pago Pago, American Samoa |
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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: 1356128680
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800248923
- Enrollment ID: I20240113000762
Medical Identifiers
Medical identifiers for Winifredo Salazar Tiangco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356128680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 5080C (American Samoa) | 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. Winifredo Salazar Tiangco allows following entities to bill medicare on his behalf.
Entity Name | American Samoa Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
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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. Winifredo Salazar Tiangco 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 |
Winifredo Salazar Tiangco, MD Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Winifredo Salazar Tiangco, MD 11155 Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222 |
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