Thor Tangvald Iv, MD in Cincinnati, OH - Medicare Psychiatry & Neurology

Thor Tangvald Iv, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Cincinnati, Ohio. His current practice location is 3200 Burnet Ave, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 558-7700.

Thor Tangvald Iv is licensed to practice in Ohio (license number 35.059078) 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 1235287954.

Contact Information

	Thor Tangvald Iv, MD
	3200 Burnet Ave, Cincinnati, OH 45229-3019
	(513) 558-7700
	(513) 558-5055

Map and Direction

Physician's Profile

Full Name	Thor Tangvald Iv
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	3200 Burnet Ave, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235287954
Provider Enumeration Date: 01/08/2007
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 0143269258
Enrollment ID: I20171006001311

Medical Identifiers

Medical identifiers for Thor Tangvald Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235287954	NPI	-	NPPES
64938137	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	33141 (Kentucky)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	35.059078 (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. Thor Tangvald Iv allows following entities to bill medicare on his behalf.

Entity Name	Bhc Fairfax Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104959097 PECOS PAC ID: 1153231857 Enrollment ID: O20031120000445

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. Thor Tangvald Iv 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
Thor Tangvald Iv, MD Po Box 636256, Cincinnati, OH 45263-6256 Ph: (513) 585-6200	Thor Tangvald Iv, MD 3200 Burnet Ave, Cincinnati, OH 45229-3019 Ph: (513) 558-7700

Reviews and Comments

Psychiatry & Neurology Doctors in Cincinnati, OH

Ethan J Musgrave, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229 Phone: 513-636-4788 Fax: 513-636-4283
Dr. Tracey Goodman Skale, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848
Dr. Walter G Broadnax, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5505 Fair Ln, Cincinnati, OH 45227 Phone: 513-421-7246 Fax: 513-421-7796
Aurora J Bennett, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 260 Stetson St, Cincinnati, OH 45219 Phone: 513-558-7700 Fax: 513-558-0877
Hilja Rebecca Ruegg, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Psychiatry, Cincinnati, OH 45219 Phone: 513-558-7700
Dr. Shanna Duffy Stryker, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2805 Gilbert Ave, Cincinnati, OH 45206 Phone: 513-815-4475
Dr. Robert William Schulman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2621 Victory Pkwy, Cincinnati, OH 45206 Phone: 513-861-6688 Fax: 513-559-3848

Thor Tangvald Iv, MD - Medicare Psychiatry & Neurology in Cincinnati, OH