Paul E Tatum Iii, MD in Saint Louis, MO - Medicare Family Medicine

Paul E Tatum Iii, MD is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" physician in Saint Louis, Missouri. His current practice location is 915 N Grand Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 652-4100.

Paul E Tatum Iii is licensed to practice in Texas (license number R9296) 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 1821079559.

Contact Information

	Paul E Tatum Iii, MD
	915 N Grand Blvd, Saint Louis, MO 63106-1621
	(314) 652-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul E Tatum Iii
Gender	Male
Speciality	Family Medicine - Hospice And Palliative Medicine
Location	915 N Grand Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821079559
Provider Enumeration Date: 11/09/2005
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8224942263
Enrollment ID: I20081001000755

Medical Identifiers

Medical identifiers for Paul E Tatum Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821079559	NPI	-	NPPES
807026	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QH0002X	Family Medicine - Hospice And Palliative Medicine	2022022258 (Missouri)	Secondary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	R9296 (Texas)	Primary
207QH0002X	Family Medicine - Hospice And Palliative Medicine	036160360 (Illinois)	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. Paul E Tatum Iii allows following entities to bill medicare on his behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20060302000596

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. Paul E Tatum Iii 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
Paul E Tatum Iii, MD 4107 Spicewood Springs Rd Ste 100, Austin, TX 78759-8645 Ph: (512) 397-3360	Paul E Tatum Iii, MD 915 N Grand Blvd, Saint Louis, MO 63106-1621 Ph: (314) 652-4100

Reviews and Comments

Family Medicine Doctors in Saint Louis, MO

Alexander Keenan Holbrook, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2345 Dougherty Ferry Rd, Saint Louis, MO 63122 Phone: 314-966-9100
Mrs. Jetuan L Rowley-herron, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-7010
Christopher Brian Espana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5034 Griffin Rd, Saint Louis, MO 63128 Phone: 314-843-7333 Fax: 314-843-9946
Dr. Sumera Younus, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3009 N Ballas Rd Ste 387c, Saint Louis, MO 63131 Phone: 314-996-5900
Mrs. Teresita Agustin Cometa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5471 Dr Martin Luther King Dr, Saint Louis, MO 63112 Phone: 314-367-5820 Fax: 314-367-6326
Dr. Michael T Railey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6125 Clayton Ave, Ste 222, Saint Louis, MO 63139 Phone: 314-768-3685 Fax: 314-768-3940
Dr. Alan Valente A Padua, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13303 Tesson Ferry Rd Ste 100, Saint Louis, MO 63128 Phone: 314-722-4741 Fax: 314-722-4731

Paul E Tatum Iii, MD - Medicare Family Medicine in Saint Louis, MO