Lo Fu Tan, MD - Medicare Family Medicine in San Ysidro, CA

Lo Fu Tan, MD is a medicare enrolled "Family Medicine" physician in San Ysidro, California. His current practice location is 3364 Beyer Blvd Ste 102, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at (702) 617-1227.

Lo Fu Tan is licensed to practice in California (license number C170935) 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 1356314835.

Contact Information

Lo Fu Tan, MD
3364 Beyer Blvd Ste 102,
San Ysidro, CA 92173-1322
(702) 617-1227
(702) 492-1589

Map and Direction




Physician's Profile

Full NameLo Fu Tan
GenderMale
SpecialityFamily Medicine
Location3364 Beyer Blvd Ste 102, San Ysidro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356314835
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830188309
  • Enrollment ID: I20040510000913

Medical Identifiers

Medical identifiers for Lo Fu Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356314835NPI-NPPES
1356314835MedicaidNV
100502942MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine C170935 (California)Primary
207Q00000XFamily Medicine 10849 (Nevada)Secondary

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. Lo Fu Tan allows following entities to bill medicare on his behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameOptum Medical Group Ii Rhodes P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770556037
PECOS PAC ID: 4981687779
Enrollment ID: O20040611000770

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. Lo Fu 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 AddressPractice Location Address
Lo Fu Tan, MD
1601 Precision Park Ln,
San Diego, CA 92173-1345

Ph: (702) 617-1227
Lo Fu Tan, MD
3364 Beyer Blvd Ste 102,
San Ysidro, CA 92173-1322

Ph: (702) 617-1227

Reviews and Comments


Family Medicine Doctors in San Ysidro, CA

Jay Downey, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-424-4463    Fax: 619-428-7952
Dr. Justin Michael Bennink, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    
Cesar Duque Gomez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    Fax: 619-428-7952
Karla Jannet Garcia, M.D., M.P.H.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-205-6349    Fax: 619-428-7952
Dr. Ryan William Mcintyre, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    
Charles R Davis,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 303-579-9268    
David Lepez, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173
Phone: 619-662-4100    Fax: 619-205-6316

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.