Dr Jonathan Ethan Tannebaum, MD in Oakland, MD

Dr Jonathan Ethan Tannebaum, MD is a medicare enrolled "Surgery" physician in Oakland, Maryland. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Specialty Physicians Of Garrett County, Llc and his current practice location is 251 N 4th St, Oakland, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 533-4000.

Dr Jonathan Ethan Tannebaum is licensed to practice in New York (license number 275818) 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 1285922724.

Contact Information

	Dr Jonathan Ethan Tannebaum, MD
	251 N 4th St, Oakland, MD 21550-1375
	(301) 533-4000
	(301) 895-8751

Map and Direction

Physician's Profile

Full Name	Dr Jonathan Ethan Tannebaum
Gender	Male
Speciality	General Surgery
Experience	15 Years
Location	251 N 4th St, Oakland, Maryland
Accepts Medicare Assignments	Yes. 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 Jonathan Ethan Tannebaum attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2009

NPI Data:

NPI Number: 1285922724
Provider Enumeration Date: 07/19/2011
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7012135924
Enrollment ID: I20200921000155

Medical Identifiers

Medical identifiers for Dr Jonathan Ethan Tannebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285922724	NPI	-	NPPES
1H0698	Other	MD	MEDICAR PTAN
996022880	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	275818 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Garrett County Memorial Hospital	Oakland, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Specialty Physicians Of Garrett County, Llc	5698082436	52

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 Jonathan Ethan Tannebaum allows following entities to bill medicare on his behalf.

Entity Name	Specialty Physicians Of Garrett County, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265819866 PECOS PAC ID: 5698082436 Enrollment ID: O20150911000591

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 Jonathan Ethan Tannebaum 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
Dr Jonathan Ethan Tannebaum, MD 908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019 Ph: (716) 692-3302	Dr Jonathan Ethan Tannebaum, MD 251 N 4th St, Oakland, MD 21550-1375 Ph: (301) 533-4000

Reviews and Comments

Surgery Doctors in Oakland, MD

Dr. Charles A Walch, M.D., F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 North 4th Street, Suite 2, Oakland, MD 21550 Phone: 301-334-8282 Fax: 301-334-8468
Marjorie Sue Fridkin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 North 4th Street, Suite 2, Oakland, MD 21550 Phone: 301-334-8282 Fax: 301-334-8468
Dr. Charles William Fedde, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 410 Sam Snead Cir, Oakland, MD 21550 Phone: 301-334-2050 Fax: 301-334-1792

Dr Jonathan Ethan Tannebaum, MD - Medicare General Surgery in Oakland, MD