Evelyn Tan, in City Of Industry, CA - Medicare Marriage & Family Therapist Provider

Evelyn Tan, is a medicare enrolled "Marriage & Family Therapist" provider in City Of Industry, California. Her current practice location is 18623 Gale Ave # 154, City Of Industry, California. You can reach out to her office (for appointments etc.) via phone at (626) 839-0300.

Evelyn Tan is licensed to practice in California (license number LMFT137212) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891351656.

Contact Information

	Evelyn Tan,
	18623 Gale Ave # 154, City Of Industry, CA 91748-1342
	(626) 839-0300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn Tan
Gender	Female
Speciality	Marriage & Family Therapist
Location	18623 Gale Ave # 154, City Of Industry, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891351656
Provider Enumeration Date: 05/16/2019
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5092158733
Enrollment ID: I20240208004308

Medical Identifiers

Medical identifiers for Evelyn Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891351656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	LMFT137212 (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. Evelyn Tan allows following entities to bill medicare on her behalf.

Entity Name	Pacific Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926

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. Evelyn Tan 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
Evelyn Tan, 18623 Gale Ave # 154, City Of Industry, CA 91748-1342 Ph: (626) 839-0300	Evelyn Tan, 18623 Gale Ave # 154, City Of Industry, CA 91748-1342 Ph: (626) 839-0300

Reviews and Comments

Marriage & Family Therapist in City Of Industry, CA

Karen Garcia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13200 Crossroads Pkwy N Ste 335, City Of Industry, CA 91746 Phone: 562-821-1491
Alicia Beatriz Medina, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18501 Gale Ave Ste 100, City Of Industry, CA 91748 Phone: 626-626-4997
Ashlee Wong, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13200 Crossroads Pkwy N Bldg 300, City Of Industry, CA 91746 Phone: 562-821-1491
Lisa Catanzaro, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13200 Crossroads Pkwy N Ste 335, City Of Industry, CA 91746 Phone: 562-821-1491
Kacey Loc, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18501 Gale Ave, City Of Industry, CA 91748 Phone: 626-626-4997
Megan Lee Montague, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13200 Crossroads Pkwy N, City Of Industry, CA 91746 Phone: 562-821-1491
Jean Pierre Bravo, AMFT 118676 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13200 Crossroads Pkwy N Bldg 300, City Of Industry, CA 91746 Phone: 562-821-1491

Evelyn Tan, - Medicare Couples Therapy in City Of Industry, CA