Tam Nguyen, DO is a medicare enrolled "Dermatology" physician in Menasha, Wisconsin. He went to Nova Southeastern College Of Osteo Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and his current practice location is
1550 Midway Pl, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 738-2000.
Tam Nguyen is licensed to practice in Wisconsin (license number 81269) 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 1619437365.
Physician's Profile
| Full Name | Tam Nguyen |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 6 Years |
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| Location | 1550 Midway Pl, Menasha, Wisconsin |
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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:
- Tam Nguyen attended and graduated from Nova Southeastern College Of Osteo Medicine in 2019
NPI Data:
- NPI Number: 1619437365
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779912183
- Enrollment ID: I20240605002213
Medical Identifiers
Medical identifiers for Tam Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619437365 | NPI | - | NPPES |
| 100281230 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 81269 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 81269 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
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. Tam Nguyen allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351 |
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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. Tam Nguyen 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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Tam Nguyen, DO
1550 Midway Pl,
Menasha, WI 54952-1165
Ph: (920) 738-2000 | Tam Nguyen, DO
1550 Midway Pl,
Menasha, WI 54952-1165
Ph: (920) 738-2000 |
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