William C Ta, MD is a medicare enrolled "General Practice" physician in Hoopa, California. His current practice location is
1200 Airport Road, Kimaw Medical Center,, Hoopa, California. You can reach out to his office (for appointments etc.) via phone at
(530) 625-4261.
William C Ta is licensed to practice in California (license number A118947) 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 1790955300.
Physician's Profile
| Full Name | William C Ta |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1200 Airport Road, Hoopa, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790955300
- Provider Enumeration Date: 03/11/2008
- Last Update Date: 04/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 5597902106
- Enrollment ID: I20130517000485
Medical Identifiers
Medical identifiers for William C Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790955300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | A118947 (California) | 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. William C Ta allows following entities to bill medicare on his behalf.
| Entity Name | Palatnik Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891813085 PECOS PAC ID: 5890689962 Enrollment ID: O20040223000300 |
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| Entity Name | Gregory G Smith M D A Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124215348 PECOS PAC ID: 8527136084 Enrollment ID: O20081010000186 |
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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. William C Ta 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 |
William C Ta, MD Po Box 1288, Hoopa, CA 95546-1288 Ph: (530) 625-4261 | William C Ta, MD 1200 Airport Road, Kimaw Medical Center,, Hoopa, CA 95546-1288 Ph: (530) 625-4261 |
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