Dr Teimojin Nicholas Tan, DO is a medicare enrolled "Emergency Medicine" physician in Pittsfield, Maine. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Medicine Services Of Maine Llc and his current practice location is
447 N Main St, Pittsfield, Maine. You can reach out to his office (for appointments etc.) via phone at
(514) 465-8977.
Dr Teimojin Nicholas Tan is licensed to practice in Maine (license number DO3564) 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 1952892382.
Physician's Profile
| Full Name | Dr Teimojin Nicholas Tan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 7 Years |
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| Location | 447 N Main St, Pittsfield, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Teimojin Nicholas Tan attended and graduated from Michigan State University College Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1952892382
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365707031
- Enrollment ID: I20230627002791
Medical Identifiers
Medical identifiers for Dr Teimojin Nicholas Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952892382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5101023757 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | DO3564 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergency Medicine Services Of Maine Llc | 1052657616 | 50 |
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 Teimojin Nicholas Tan allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Medicine Services Of Maine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578032058
PECOS PAC ID: 1052657616
Enrollment ID: O20190118000889 |
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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 Teimojin Nicholas 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 Address | Practice Location Address |
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Dr Teimojin Nicholas Tan, DO
447 N Main St,
Pittsfield, ME 04967-3707
Ph: (514) 465-8977 | Dr Teimojin Nicholas Tan, DO
447 N Main St,
Pittsfield, ME 04967-3707
Ph: (514) 465-8977 |
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