Dr Bruce Tabak, DPM is a medicare enrolled "Podiatrist" provider in Oxford, Michigan. His current practice location is
129 S Washington St, Oxford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 628-1880.
Dr Bruce Tabak is licensed to practice in Michigan (license number 5901400128) 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 1003988577.
Healthcare Provider's Profile
| Full Name | Dr Bruce Tabak |
|---|
| Gender | Male |
|---|
| Speciality | Podiatrist |
|---|
| Location | 129 S Washington St, Oxford, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003988577
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 2668506916
- Enrollment ID: I20100823000385
Medical Identifiers
Medical identifiers for Dr Bruce Tabak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003988577 | NPI | - | NPPES |
| 1648173 | Medicaid | MI | |
| 3142556 | Medicaid | MI | |
| 5635090 | Other | MI | BLUE CROSS OF MICHIGAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 5901400128 (Michigan) | Primary |
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. Dr Bruce Tabak 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 |
Dr Bruce Tabak, DPM 129 S Washington St, Oxford, MI 48371-4981 Ph: (248) 628-1880 | Dr Bruce Tabak, DPM 129 S Washington St, Oxford, MI 48371-4981 Ph: (248) 628-1880 |
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