Dr Cyril Etta Tabe, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Minot, North Dakota. His current practice location is
101 3rd Ave Sw, Minot, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 857-3655.
Dr Cyril Etta Tabe is licensed to practice in North Dakota (license number 10459) 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 1558457135.
Physician's Profile
| Full Name | Dr Cyril Etta Tabe |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 101 3rd Ave Sw, Minot, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558457135
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 01/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183624125
- Enrollment ID: I20160627000848
Medical Identifiers
Medical identifiers for Dr Cyril Etta Tabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558457135 | NPI | - | NPPES |
| 18307230 | Medicaid | NM | |
| 14089 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD2009-0696 (New Mexico) | Secondary |
| 208600000X | Surgery | 10459 (North Dakota) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01089362A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 282203 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD2009-0696 (New Mexico) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C145282 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 10459 (North Dakota) | 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. Dr Cyril Etta Tabe allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Hospital Of Buffalo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253 |
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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. Dr Cyril Etta Tabe 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 Cyril Etta Tabe, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Dr Cyril Etta Tabe, MD
101 3rd Ave Sw,
Minot, ND 58701-3880
Ph: (701) 857-3655 |
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