Dr Nicholas M Tabor Iii Dpm is a medicare enrolled "Podiatrist" provider in La Salle, Illinois. Their current practice location is
226 Marquette St, La Salle, Illinois. You can reach out to their office (for appointments etc.) via phone at
(815) 224-3535.
Dr Nicholas M Tabor Iii Dpm is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dr Nicholas M Tabor Iii Dpm
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912176306.
Healthcare Provider's Profile
Full Name | Dr Nicholas M Tabor Iii Dpm |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 226 Marquette St, La Salle, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912176306
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 02/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 9931220159
- Enrollment ID: O20100930020075
Medical Identifiers
Medical identifiers for Dr Nicholas M Tabor Iii Dpm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912176306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (Not Available)) | 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. Dr Nicholas M Tabor Iii Dpm 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 |
Dr Nicholas M Tabor Iii Dpm 226 Marquette St, La Salle, IL 61301-2415 Ph: (815) 224-3535 | Dr Nicholas M Tabor Iii Dpm 226 Marquette St, La Salle, IL 61301-2415 Ph: (815) 224-3535 |
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