| David Tat, DO | |
|
1601 Owen Dr, Fayetteville, NC 28304-3425 | |
| (910) 678-0100 | |
| (910) 678-0110 |
| Full Name | David Tat |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 26 Years |
| Location | 1601 Owen Dr, Fayetteville, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013976646 | NPI | - | NPPES |
| 89137MU | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 200400421 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Physician Services, Inc | 4284782210 | 335 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| David Tat, DO 1601 Owen Dr, Fayetteville, NC 28304-3425 Ph: (910) 678-0100 | David Tat, DO 1601 Owen Dr, Fayetteville, NC 28304-3425 Ph: (910) 678-0100 |
Kenneth Melton, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304 Phone: 910-484-8114 Fax: 910-484-1564 | |
Kenneth Russell Manning, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6910 Fax: 910-609-5219 | |
San San Wai, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Sabena Johnson, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120 | |
Dr. Stephen S Logue, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304 Phone: 910-483-8080 Fax: 910-483-3258 | |
Dr. Ghanshyam Pradyumna Dwivedi, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-483-4680 Fax: 910-484-2704 |