Ardeshir T Tamboli, MD is a medicare enrolled "Allergy & Immunology" physician in Weirton, West Virginia. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Allergy/immunology. His current practice location is
2814 Pennsylvania Ave, Weirton, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 723-1810.
Ardeshir T Tamboli is licensed to practice in Ohio (license number 35045162T) 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 1548267305.
Physician's Profile
| Full Name | Ardeshir T Tamboli |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 55 Years |
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| Location | 2814 Pennsylvania Ave, Weirton, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ardeshir T Tamboli graduated from medical school in 1971
NPI Data:
- NPI Number: 1548267305
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507808656
- Enrollment ID: I20050531000013
Medical Identifiers
Medical identifiers for Ardeshir T Tamboli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548267305 | NPI | - | NPPES |
| 0433294 | Medicaid | OH | |
| P00469048 | Other | OH | RR MEDICARE |
| 0112183000 | Medicaid | WV | |
| 101974726003 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | 12254 (West Virginia) | Secondary |
| 207K00000X | Allergy & Immunology | MD036753L (Pennsylvania) | Secondary |
| 207K00000X | Allergy & Immunology | 35045162T (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. Ardeshir T Tamboli allows following entities to bill medicare on his behalf.
| Entity Name | A T Tamboli M D Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285780049
PECOS PAC ID: 8729146758
Enrollment ID: O20081021000246 |
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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. Ardeshir T Tamboli 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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Ardeshir T Tamboli, MD
899 E Iron Ave Ste D,
Dover, OH 44622-2097
Ph: () - | Ardeshir T Tamboli, MD
2814 Pennsylvania Ave,
Weirton, WV 26062-3719
Ph: (304) 723-1810 |
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