Dr Gubert Lee Tan, MD - Medicare Neurology in Mansfield, OH

Dr Gubert Lee Tan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Mansfield, Ohio. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Ohiohealth Corporation and his current practice location is 222 Marion Ave, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 526-1964.

Dr Gubert Lee Tan is licensed to practice in Ohio (license number 35074660) 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 1285621490.

Contact Information

Dr Gubert Lee Tan, MD
222 Marion Ave,
Mansfield, OH 44903-2138
(419) 526-1964
(419) 526-0012

Map and Direction




Physician's Profile

Full NameDr Gubert Lee Tan
GenderMale
SpecialityNeurology
Experience36 Years
Location222 Marion Ave, Mansfield, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gubert Lee Tan graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1285621490
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789699331
  • Enrollment ID: I20060217000527

Medical Identifiers

Medical identifiers for Dr Gubert Lee Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285621490NPI-NPPES
2072813MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 036088453 (Illinois)Secondary
2084N0400XPsychiatry & Neurology - Neurology 35074660 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohiohealth Mansfield HospitalMansfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohiohealth Corporation63057584261900

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 Gubert Lee Tan allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameGalion Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215907522
PECOS PAC ID: 5496737439
Enrollment ID: O20040603000930
Entity NameOhiohealth Regional Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538552468
PECOS PAC ID: 9739496902
Enrollment ID: O20150921001772

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 Gubert Lee 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
Dr Gubert Lee Tan, MD
5400 Frantz Rd, Ste 250,
Dublin, OH 43016-4144

Ph: (614) 544-6155
Dr Gubert Lee Tan, MD
222 Marion Ave,
Mansfield, OH 44903-2138

Ph: (419) 526-1964

Reviews and Comments


Psychiatry & Neurology Doctors in Mansfield, OH

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Phone: 419-529-4602    Fax: 419-529-4664
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Dr. Jamila K Khan, DO
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Jay D Haar, MD PSYCHIATRIST
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Phone: 419-756-9975    Fax: 419-756-1405
Scott Varga, MD
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Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903
Phone: 567-241-7700    Fax: 567-241-7719

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.