Dat Thanh Ta, MD in Charlotte, NC - Medicare Emergency Medicine

Dat Thanh Ta, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. He went to Rush Medical College Of Rush University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Vituity-south Carolina Llc and his current practice location is 10628 Park Rd, Emergency Department, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (877) 678-0949.

Dat Thanh Ta is licensed to practice in North Carolina (license number 2013-00142) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194049049.

Contact Information

	Dat Thanh Ta, MD
	10628 Park Rd, Emergency Department, Charlotte, NC 28210-8407
	(877) 678-0949
	Not Available

Map and Direction

Physician's Profile

Full Name	Dat Thanh Ta
Gender	Male
Speciality	Emergency Medicine
Experience	14 Years
Location	10628 Park Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dat Thanh Ta attended and graduated from Rush Medical College Of Rush University in 2010

NPI Data:

NPI Number: 1194049049
Provider Enumeration Date: 03/22/2010
Last Update Date: 03/19/2014

Medicare PECOS Information:

PECOS PAC ID: 5193961712
Enrollment ID: I20171009003385

Medical Identifiers

Medical identifiers for Dat Thanh Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194049049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2013-00142 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis-downtown	Greenville, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vituity-south Carolina Llc	5698188522	33

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. Dat Thanh Ta allows following entities to bill medicare on his behalf.

Entity Name	St Francis Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558305995 PECOS PAC ID: 3779487186 Enrollment ID: O20031126000091

Entity Name	Bon Secours Ambulatory Services - St. Francis, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124495643 PECOS PAC ID: 0840590931 Enrollment ID: O20151120002171

Entity Name	Vituity-south Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194328724 PECOS PAC ID: 5698188522 Enrollment ID: O20210113001571

Entity Name	Bon Secours Medical Group Greenville Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821679580 PECOS PAC ID: 1850779976 Enrollment ID: O20220602000070

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. Dat Thanh Ta 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
Dat Thanh Ta, MD 10628 Park Rd, Emergency Department, Charlotte, NC 28210-8407 Ph: (877) 678-0949	Dat Thanh Ta, MD 10628 Park Rd, Emergency Department, Charlotte, NC 28210-8407 Ph: (877) 678-0949

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047

Dat Thanh Ta, MD - Medicare Emergency Medicine in Charlotte, NC