Dr David Alan Tack, MD - Medicare Dermatology in Carson City, NV

Dr David Alan Tack, MD is a medicare enrolled "Dermatology" physician in Carson City, Nevada. He went to University Of Nevada School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Clemmensen, Adams, And Tack Psc and his current practice location is 1100 S Carson St, Carson City, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 883-7811.

Dr David Alan Tack is licensed to practice in Nevada (license number 11209) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124032990.

Contact Information

Dr David Alan Tack, MD
1100 S Carson St,
Carson City, NV 89701-5232
(775) 883-7811
Not Available



Physician's Profile

Full NameDr David Alan Tack
GenderMale
SpecialityDermatology
Experience25 Years
Location1100 S Carson St, Carson City, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Alan Tack attended and graduated from University Of Nevada School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1124032990
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789677816
  • Enrollment ID: I20050201000938

Medical Identifiers

Medical identifiers for Dr David Alan Tack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124032990NPI-NPPES
11209OtherNVNV STATE MED. LIC #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 11209 (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clemmensen, Adams, And Tack Psc10523985918

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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. Dr David Alan Tack allows following entities to bill medicare on his behalf.
Entity NameClemmensen, Adams, & Tack Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780852368
PECOS PAC ID: 1052398591
Enrollment ID: O20040702000297

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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. Dr David Alan Tack 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 AddressPractice Location Address
Dr David Alan Tack, MD
227 St Albans Pl,
Carson City, NV 89703-4546

Ph: (775) 841-5259
Dr David Alan Tack, MD
1100 S Carson St,
Carson City, NV 89701-5232

Ph: (775) 883-7811

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Dermatology Doctors in Carson City, NV

Dr. Jay Stanley Adams, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: Carson Dermatology, 1100 South Carson Street, Carson City, NV 89701
Phone: 775-883-7811    Fax: 775-883-7871
Dr. Ruth Elizabeth Adams, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1100 S Carson St, Carson Dematology, Carson City, NV 89701
Phone: 775-883-7811    Fax: 775-883-7871
Charles Clemmensen, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1100 S Carson St, Carson City, NV 89701
Phone: 775-883-7811    

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