Clifton Tatum, MD - Medicare Radiology in Louisville, KY

Clifton Tatum, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Louisville, Kentucky. His current practice location is 200 E Gray St, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 629-7601.

Clifton Tatum is licensed to practice in Kentucky (license number 26863) 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 1366440687.

Contact Information

Clifton Tatum, MD
200 E Gray St,
Louisville, KY 40202-2012
(502) 629-7601
Not Available

Map and Direction




Physician's Profile

Full NameClifton Tatum
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location200 E Gray St, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366440687
  • Provider Enumeration Date: 07/11/2005
  • Last Update Date: 01/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7911810148
  • Enrollment ID: I20031112000436

Medical Identifiers

Medical identifiers for Clifton Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366440687NPI-NPPES
100356810AMedicaidIN
1052796OtherKYPASSPORT
50005985OtherKYPASSPORT
64268634MedicaidKY
000000308613OtherKYBC BS
000000050041OtherKYBC BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 26863 (Kentucky)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. Clifton Tatum allows following entities to bill medicare on his behalf.
Entity NameDiagnostic Imaging Alliance Of Louisville Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396765509
PECOS PAC ID: 1951214220
Enrollment ID: O20031112000110

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. Clifton Tatum 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 AddressPractice Location Address
Clifton Tatum, MD
234 E Gray St, Suite 850,
Louisville, KY 40202-1900

Ph: (502) 585-1735
Clifton Tatum, MD
200 E Gray St,
Louisville, KY 40202-2012

Ph: (502) 629-7601

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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