Tom A Nachtigal, MD is a medicare enrolled "Surgery" physician in Laramie, Wyoming. His current practice location is
3125 E Grand Ave, Suite B, Laramie, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 745-8442.
Tom A Nachtigal is licensed to practice in Wyoming (license number 4490A) 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 1396815809.
Physician's Profile
| Full Name | Tom A Nachtigal |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 3125 E Grand Ave, Laramie, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396815809
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456428671
- Enrollment ID: I20080930000255
Medical Identifiers
Medical identifiers for Tom A Nachtigal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396815809 | NPI | - | NPPES |
| 116885100 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 4490A (Wyoming) | 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. Tom A Nachtigal allows following entities to bill medicare on his behalf.
| Entity Name | Ivinson Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033628599
PECOS PAC ID: 8325304447
Enrollment ID: O20171213002021 |
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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. Tom A Nachtigal 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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Tom A Nachtigal, MD
Po Box 103,
Laramie, WY 82073-0103
Ph: (307) 760-8468 | Tom A Nachtigal, MD
3125 E Grand Ave, Suite B,
Laramie, WY 82070-5137
Ph: (307) 745-8442 |
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