Dr Tate Roger Church, MD in Ottawa, OH - Medicare Family Medicine

Dr Tate Roger Church, MD is a medicare enrolled "Family Medicine" physician in Ottawa, Ohio. His current practice location is 1740 N Perry St, Ottawa, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 523-0012.

Dr Tate Roger Church is licensed to practice in Ohio (license number 35.147427) 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 1942839220.

Contact Information

	Dr Tate Roger Church, MD
	1740 N Perry St, Ottawa, OH 45875-1173
	(419) 523-0012
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tate Roger Church
Gender	Male
Speciality	Family Medicine
Location	1740 N Perry St, Ottawa, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942839220
Provider Enumeration Date: 04/07/2020
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 8921488271
Enrollment ID: I20230830002376

Medical Identifiers

Medical identifiers for Dr Tate Roger Church such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942839220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35.147427 (Ohio)	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 Tate Roger Church allows following entities to bill medicare on his behalf.

Entity Name	Blanchard Valley Medical Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962501627 PECOS PAC ID: 9234168147 Enrollment ID: O20050811000177

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 Tate Roger Church 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 Tate Roger Church, MD 1740 N Perry St, Ottawa, OH 45875-1173 Ph: (419) 523-0012	Dr Tate Roger Church, MD 1740 N Perry St, Ottawa, OH 45875-1173 Ph: (419) 523-0012

Reviews and Comments

Family Medicine Doctors in Ottawa, OH

Katelyn Ann Leopold, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St Ste A, Ottawa, OH 45875 Phone: 419-523-0012 Fax: 419-523-3416
Jeffrey S Eiden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 N Perry St, Suite A, Ottawa, OH 45875 Phone: 419-523-0012 Fax: 419-523-3416
Jennifer R Maag, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Putnam Pkwy, Ottawa, OH 45875 Phone: 419-523-9632 Fax: 419-523-9636

Dr Tate Roger Church, MD - Medicare Family Medicine in Ottawa, OH