| Belen M Tan, MD | |
| 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607-2817 | |
| (352) 331-3502 | |
| (352) 331-3488 | 
| Full Name | Belen M Tan | 
|---|---|
| Gender | Female | 
| Speciality | Allergy & Immunology | 
| Location | 4343 W Newberry Rd, Gainesville, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326025594 | NPI | - | NPPES | 
| 250810900 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207K00000X | Allergy & Immunology | ME71200 (Florida) | Primary | 
| Entity Name | Simedhealth Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639680127 PECOS PAC ID: 6608137054 Enrollment ID: O20180227000525 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Belen M Tan, MD 4881 Nw 8th Ave, Suite 2, Gainesville, FL 32605-4582 Ph: (352) 373-6338 | Belen M Tan, MD 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607-2817 Ph: (352) 331-3502 | 
| Mercedes T Pernice, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
| Jordan Lupo Heath, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 Newberry Rd Ste 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
| Erinn Samantha Kellner, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
| Mr. Thomas L Johnson Ii, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
| Antonio L Bunker-soler, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
| Dr. Madhukar K. Punja, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1173 Nw 64th Ter, Gainesville, FL 32605 Phone: 352-331-2485 Fax: 352-331-0047 |