Dr Fausta Ditah, in Clarksville, TN - Medicare Gastroenterology

Dr Fausta Ditah, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Clarksville, Tennessee. He went to University Of Michigan Medical School and graduated in 2008 and has 16 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Clarksville Physician Services Gp and his current practice location is 647 Dunlop Ln Ste 210, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 502-3810.

Dr Fausta Ditah is licensed to practice in Tennessee (license number MD50497) 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 1063675692.

Contact Information

	Dr Fausta Ditah,
	647 Dunlop Ln Ste 210, Clarksville, TN 37040-5165
	(931) 502-3810
	(931) 502-3815

Map and Direction

Physician's Profile

Full Name	Dr Fausta Ditah
Gender	Male
Speciality	Gastroenterology
Experience	16 Years
Location	647 Dunlop Ln Ste 210, Clarksville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Fausta Ditah attended and graduated from University Of Michigan Medical School in 2008

NPI Data:

NPI Number: 1063675692
Provider Enumeration Date: 07/03/2008
Last Update Date: 05/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2062639776
Enrollment ID: I20140804000937

Medical Identifiers

Medical identifiers for Dr Fausta Ditah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063675692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	MD50497 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tennova Healthcare-clarksville	Clarksville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clarksville Physician Services Gp	0547276917	24

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 Fausta Ditah allows following entities to bill medicare on his behalf.

Entity Name	Clarksville Physician Services Gp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083657829 PECOS PAC ID: 0547276917 Enrollment ID: O20060223000133

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 Fausta Ditah 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 Fausta Ditah, 1137 Archibald Dr, Clarksville, TN 37040-2212 Ph: (734) 709-8776	Dr Fausta Ditah, 647 Dunlop Ln Ste 210, Clarksville, TN 37040-5165 Ph: (931) 502-3810

Reviews and Comments

Internal Medicine Doctors in Clarksville, TN

Oba Hashim Hollie, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-245-3580 Fax: 931-201-5868
Jigar Kanubhai Shah, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 274 Clear Sky Ct, Clarksville Cancer Care, Clarksville, TN 37043 Phone: 931-802-8056 Fax: 931-802-8059
Nathan Lidsky, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1481 Hollis Rdg, Clarksville, TN 37043 Phone: 847-987-2121
James R Smith, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 344 Peartree Dr, Clarksville, TN 37043 Phone: 931-648-1811
Dr. Sriram Krishnasamy, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 298 Clear Sky Ct, Suite B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648
Vernon M Carrigan, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8300 Fax: 931-245-8360

Dr Fausta Ditah, - Medicare Gastroenterology in Clarksville, TN