Dr Donald Ta, MD is a medicare enrolled "Pediatrics" physician in Clendenin, West Virginia. He went to West Virginia University School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Cabin Creek Health Center Inc and his current practice location is
107 Koontz Ave, Clendenin, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 548-7272.
Dr Donald Ta is licensed to practice in West Virginia (license number 27153) 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 1376812008.
Physician's Profile
| Full Name | Dr Donald Ta |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 15 Years |
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| Location | 107 Koontz Ave, Clendenin, 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:
- Dr Donald Ta attended and graduated from West Virginia University School Of Medicine in 2011
NPI Data:
- NPI Number: 1376812008
- Provider Enumeration Date: 12/27/2011
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597043281
- Enrollment ID: I20161101000426
Medical Identifiers
Medical identifiers for Dr Donald Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376812008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 27153 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cabin Creek Health Center Inc | 2466431101 | 41 |
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 Donald Ta allows following entities to bill medicare on his behalf.
| Entity Name | Cabin Creek Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096 |
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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 Donald Ta 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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Dr Donald Ta, MD
104 Alex Ln,
Charleston, WV 25304-2952
Ph: (304) 734-2040 | Dr Donald Ta, MD
107 Koontz Ave,
Clendenin, WV 25045-9578
Ph: (304) 548-7272 |
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