Dr Benoit D Tano, MD, PHD is a medicare enrolled "Allergy & Immunology" physician in Glastonbury, Connecticut. His current practice location is
622 Hebron Ave, Glastonbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 659-8904.
Dr Benoit D Tano is licensed to practice in Texas (license number M4963) 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 1457419616.
Physician's Profile
Full Name | Dr Benoit D Tano |
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Gender | Male |
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Speciality | Allergy & Immunology |
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Location | 622 Hebron Ave, Glastonbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457419616
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 10/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719089101
- Enrollment ID: I20160105000102
Medical Identifiers
Medical identifiers for Dr Benoit D Tano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457419616 | NPI | - | NPPES |
M4963 | Other | | TEXAS MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0201X | Internal Medicine - Allergy & Immunology | PT11501 (North Dakota) | Secondary |
207K00000X | Allergy & Immunology | M4963 (Texas) | Primary |
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 Benoit D Tano 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 |
Dr Benoit D Tano, MD, PHD 622 Hebron Ave, Glastonbury, CT 06033-2421 Ph: (860) 659-8904 | Dr Benoit D Tano, MD, PHD 622 Hebron Ave, Glastonbury, CT 06033-2421 Ph: (860) 659-8904 |
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