Dr Ralph William Tack, MD, MPH is a
Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Fremont, Ohio. Dr Ralph William Tack is licensed to practice in Ohio (license number 35048041) and his current practice location is 715 S Taft Ave, Fremont, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 333-2738.
NPI number for Dr Ralph William Tack is 1578620621 and his current mailing address is 715 S Taft Ave, Fremont, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578620621.
Physician's Profile
| Full Name | Dr Ralph William Tack |
|---|
| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 715 S Taft Ave, Fremont, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578620621
- Provider Enumeration Date: 01/01/2007
- Last Update Date: 03/01/2010
Medical Identifiers
Medical identifiers for Dr Ralph William Tack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578620621 | NPI | - | NPPES |
| 35048041 | Other | OH | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 35048041 (Ohio) | Primary |
| 207Q00000X | Family Medicine | 35048041 (Ohio) | Secondary |
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 Ralph William Tack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ralph William Tack, MD, MPH
715 S Taft Ave,
Fremont, OH 43420-3200
Ph: (419) 333-2738 | Dr Ralph William Tack, MD, MPH
715 S Taft Ave,
Fremont, OH 43420-3200
Ph: (419) 333-2738 |
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