Dr Tanvir Mahtab, MD - Medicare General Practice in Orangeburg, SC

Dr Tanvir Mahtab, MD is a medicare enrolled "General Practice" physician in Orangeburg, South Carolina. His current practice location is 3310 Magnolia St, Orangeburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 531-6900.

Dr Tanvir Mahtab is licensed to practice in South Carolina (license number 28238) 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 1528234473.

Contact Information

Dr Tanvir Mahtab, MD
3310 Magnolia St,
Orangeburg, SC 29115-1466
(803) 531-6900
(803) 531-6907



Physician's Profile

Full NameDr Tanvir Mahtab
GenderMale
SpecialityGeneral Practice
Location3310 Magnolia St, Orangeburg, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528234473
  • Provider Enumeration Date: 05/01/2008
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3678885225
  • Enrollment ID: I20150709003125

Medical Identifiers

Medical identifiers for Dr Tanvir Mahtab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528234473NPI-NPPES
28238OtherSCSC LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 28238 (South Carolina)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. Dr Tanvir Mahtab allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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 Tanvir Mahtab 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 Tanvir Mahtab, MD
3310 Magnolia St,
Orangeburg, SC 29115-1466

Ph: (803) 531-6900
Dr Tanvir Mahtab, MD
3310 Magnolia St,
Orangeburg, SC 29115-1466

Ph: (803) 531-6900

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General Practice Doctors in Orangeburg, SC

Gabriel Isaac Roberts, PA-C
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1097a Cook Rd, Orangeburg, SC 29118
Phone: 803-395-3370    
Dr. Rukudzo Darlington Mazaiwana, M.D., OTR/L
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 3310 Magnolia St, Orangeburg, SC 29115
Phone: 803-531-6900    Fax: 803-531-6907

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