David Harold Tabor, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Proctorville, Ohio. His current practice location is
309 Township Road 1534, Proctorville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(304) 617-0427.
David Harold Tabor is licensed to practice in West Virginia (license number 33261) 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 1053419556.
Provider's Profile
| Full Name | David Harold Tabor |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 309 Township Road 1534, Proctorville, Ohio |
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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: 1053419556
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 05/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880676451
- Enrollment ID: I20201008000448
Medical Identifiers
Medical identifiers for David Harold Tabor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053419556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 33261 (West Virginia) | 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. David Harold Tabor allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Anesthesia & Pain Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629401898 PECOS PAC ID: 8022245372 Enrollment ID: O20131212001655 |
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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. David Harold Tabor 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 |
David Harold Tabor, CRNA 309 Township Road 1534, Proctorville, OH 45669-7883 Ph: (304) 617-0427 | David Harold Tabor, CRNA 309 Township Road 1534, Proctorville, OH 45669-7883 Ph: (304) 617-0427 |
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