Dr Tung Van Dao, DPM, MS is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Granville, Ohio. His current practice location is
2750 Newark Granville Rd, Granville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 788-9220.
Dr Tung Van Dao is licensed to practice in Ohio (license number 36.004148) 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 1881222636.
Healthcare Provider's Profile
| Full Name | Dr Tung Van Dao |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 2750 Newark Granville Rd, Granville, Ohio |
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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: 1881222636
- Provider Enumeration Date: 03/28/2020
- Last Update Date: 08/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163843566
- Enrollment ID: I20230706002340
Medical Identifiers
Medical identifiers for Dr Tung Van Dao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881222636 | NPI | - | NPPES |
| 36.004148 | Other | OH | OHIO STATE MEDICAL LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5927 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.004148 (Ohio) | 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. Dr Tung Van Dao allows following entities to bill medicare on his behalf.
| Provider Name | Sutter Bay Medical Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Dr Tung Van Dao 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 |
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Dr Tung Van Dao, DPM, MS
6480 Harrison Ave Ste 201,
Cincinnati, OH 45247-7961
Ph: (513) 818-0043 | Dr Tung Van Dao, DPM, MS
2750 Newark Granville Rd,
Granville, OH 43023-9142
Ph: (740) 788-9220 |
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