Dr David Kee Tom, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Sun City, Arizona. His current practice location is
13203 N 103rd Ave Ste H5, Sun City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 777-4747.
Dr David Kee Tom is licensed to practice in Arizona (license number 43118) 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 1043491988.
Physician's Profile
| Full Name | Dr David Kee Tom |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 13203 N 103rd Ave Ste H5, Sun City, Arizona |
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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: 1043491988
- Provider Enumeration Date: 11/20/2007
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931119492
- Enrollment ID: I20101011001158
Medical Identifiers
Medical identifiers for Dr David Kee Tom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043491988 | NPI | - | NPPES |
| 52007 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 43118 (Arizona) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 43118 (Arizona) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 43118 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 43118 (Arizona) | Secondary |
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 David Kee Tom allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Anesthesia Consultants Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144645656
PECOS PAC ID: 2264664549
Enrollment ID: O20140421001511 |
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| Entity Name | Novaspine Pain Institute Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154745263
PECOS PAC ID: 9931323359
Enrollment ID: O20140630000941 |
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| Entity Name | Premier Diagnostics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659199842
PECOS PAC ID: 1153854666
Enrollment ID: O20241022005485 |
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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 David Kee Tom 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 David Kee Tom, MD
Po Box 5068,
Sun City West, AZ 85376
Ph: (623) 777-4747 | Dr David Kee Tom, MD
13203 N 103rd Ave Ste H5,
Sun City, AZ 85351-3032
Ph: (623) 777-4747 |
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