Dr Gustavo F Tataje Rengifo, MD - Medicare Internal Medicine in Lansing, MI

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Dr Gustavo F Tataje Rengifo, MD is a medicare enrolled "Internal Medicine" physician in Lansing, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Capital Internal Medicine Associates P.c., Eaton Rapids Medical Center, Edward W Sparrow Hospital Association and his current practice location is 3955 Patient Care Dr Ste A, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 374-7600.

Dr Gustavo F Tataje Rengifo is licensed to practice in Michigan (license number 4301504688) 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 1033601489.

Contact Information

Dr Gustavo F Tataje Rengifo, MD
3955 Patient Care Dr Ste A,
Lansing, MI 48911
(517) 374-7600
Not Available

Map and Direction




Physician's Profile

Full NameDr Gustavo F Tataje Rengifo
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location3955 Patient Care Dr Ste A, Lansing, Michigan
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 Gustavo F Tataje Rengifo graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1033601489
  • Provider Enumeration Date: 06/01/2018
  • Last Update Date: 07/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921401001
  • Enrollment ID: I20210727002539

Medical Identifiers

Medical identifiers for Dr Gustavo F Tataje Rengifo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033601489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4351043487 (Michigan)Secondary
207R00000XInternal Medicine 4301504688 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mclaren Greater LansingLansing, MIHospital
Edward W Sparrow HospitalLansing, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Internal Medicine Associates P.c.802209796363
Eaton Rapids Medical Center599169263421
Edward W Sparrow Hospital Association6709799166522

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 Gustavo F Tataje Rengifo allows following entities to bill medicare on his behalf.
Entity NameEaton Rapids Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588810709
PECOS PAC ID: 5991692634
Enrollment ID: O20040301000307
Entity NameCapital Internal Medicine Associates P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780629832
PECOS PAC ID: 8022097963
Enrollment ID: O20040715000369
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437331501
PECOS PAC ID: 6709799166
Enrollment ID: O20080219000111
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043562465
PECOS PAC ID: 6709799166
Enrollment ID: O20130503000582
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487154290
PECOS PAC ID: 6709799166
Enrollment ID: O20180405001766
Entity NameSparrow Specialty Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437655842
PECOS PAC ID: 2466347638
Enrollment ID: O20180607002998

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 Gustavo F Tataje Rengifo 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 Gustavo F Tataje Rengifo, MD
3955 Patient Care Dr Ste A,
Lansing, MI 48911-4271

Ph: (517) 374-7600		Dr Gustavo F Tataje Rengifo, MD
3955 Patient Care Dr Ste A,
Lansing, MI 48911

Ph: (517) 374-7600

Reviews and Comments


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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).

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