Ross Tanick, is a medicare enrolled "Family Medicine" provider in Denver, Colorado. He went to Rocky Vista University College Of Osteopathic Med and graduated in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is
1700 N Marion St, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 860-7770.
Ross Tanick is licensed to practice in Colorado (license number DR.0071997) 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 1093149254.
Healthcare Provider's Profile
| Full Name | Ross Tanick |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 1700 N Marion St, Denver, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ross Tanick attended and graduated from Rocky Vista University College Of Osteopathic Med in 2022
NPI Data:
- NPI Number: 1093149254
- Provider Enumeration Date: 08/23/2013
- Last Update Date: 09/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365821329
- Enrollment ID: I20251205003645
Medical Identifiers
Medical identifiers for Ross Tanick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093149254 | NPI | - | NPPES |
| UNKNOWN | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| 207Q00000X | Family Medicine | DR.0071997 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
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. Ross Tanick allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Ross Tanick 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 |
|---|
Ross Tanick,
1700 N Marion St,
Denver, CO 80218-1121
Ph: (303) 860-7770 | Ross Tanick,
1700 N Marion St,
Denver, CO 80218-1121
Ph: (303) 860-7770 |
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