Dr Lan Q Ta, MD - Medicare Internal Medicine in Melbourne, FL

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Dr Lan Q Ta, MD is a medicare enrolled "Internal Medicine" physician in Melbourne, Florida. His current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 434-1771.

Dr Lan Q Ta is licensed to practice in Florida (license number ME132166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760619563.

Contact Information

Dr Lan Q Ta, MD
1350 Hickory St,
Melbourne, FL 32901-3224
(321) 434-1771
(321) 434-1775

Map and Direction




Physician's Profile

Full NameDr Lan Q Ta
GenderMale
SpecialityInternal Medicine
Location1350 Hickory St, Melbourne, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760619563
  • Provider Enumeration Date: 06/18/2009
  • Last Update Date: 07/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234382565
  • Enrollment ID: I20130116000391

Medical Identifiers

Medical identifiers for Dr Lan Q Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760619563NPI-NPPES
100981500MedicaidFL
JM828OtherFLMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD205729 (Louisiana)Secondary
207R00000XInternal Medicine 24008 (Mississippi)Secondary
208M00000XHospitalist 205729 (Louisiana)Secondary
208M00000XHospitalist ME132166 (Florida)Secondary
207R00000XInternal Medicine ME132166 (Florida)Primary

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 Lan Q Ta allows following entities to bill medicare on his behalf.
Entity NameBelle Chasse Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245653237
PECOS PAC ID: 9335379379
Enrollment ID: O20140313000496
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20151021000365
Entity NameMayfair Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831688365
PECOS PAC ID: 7618225814
Enrollment ID: O20180803002194
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20190923002250
Entity NameSound Inpatient Physicians Of Texas I, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811321797
PECOS PAC ID: 8729133640
Enrollment ID: O20200123001338

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 Lan Q Ta 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 Lan Q Ta, MD
36800 Winfield Ct,
Grand Island, FL 32735-9131

Ph: (321) 695-4395		Dr Lan Q Ta, MD
1350 Hickory St,
Melbourne, FL 32901-3224

Ph: (321) 434-1771

Reviews and Comments


Internal Medicine Doctors in Melbourne, FL

Dr. Nathan D Allison, M.D.
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Phone: 321-434-9230    Fax: 321-434-9231
Tomor Sedaliu,
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Phone: 321-434-1771    
Dr. Olga Dorjima Emgushov, MD,MPH
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Taha Dias, MD
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Practice Location: 1270 N Wickham Rd Ste 9, Melbourne, FL 32935
Phone: 321-567-2211    
Dr. Audrius J Bredikis, M.D.
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Phone: 321-361-5564    Fax: 321-956-2542
Dr. Sumit Sureshkumar Patel, MD
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Practice Location: 111 E Hibiscus Blvd, Melbourne, FL 32901
Phone: 978-761-9784    
Craig J Badolato, MD
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Practice Location: 1430 Pine St, Melbourne, FL 32901
Phone: 321-674-5050    Fax: 321-952-6296

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.