Emmanuel John Tavares, MD in Roseville, CA

Emmanuel John Tavares, MD is a medicare enrolled "Urology" physician in Roseville, California. His current practice location is 3 Medical Plaza Dr Ste 250, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 797-4720.

Emmanuel John Tavares is licensed to practice in California (license number A179377) 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 1619439213.

Contact Information

	Emmanuel John Tavares, MD
	3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089
	(916) 797-4720
	Not Available

Map and Direction

Physician's Profile

Full Name	Emmanuel John Tavares
Gender	Male
Speciality	Urology
Location	3 Medical Plaza Dr Ste 250, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619439213
Provider Enumeration Date: 04/02/2019
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3870032741
Enrollment ID: I20240823002145

Medical Identifiers

Medical identifiers for Emmanuel John Tavares such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619439213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A179377 (California)	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. Emmanuel John Tavares allows following entities to bill medicare on his behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Emmanuel John Tavares 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
Emmanuel John Tavares, MD Po Box 255228, Sacramento, CA 95865-5228 Ph: () -	Emmanuel John Tavares, MD 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 Ph: (916) 797-4720

Reviews and Comments

Urology Doctors in Roseville, CA

Dr. Vesna Ivancic Cochell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Dr. Hossein Mirheydar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661 Phone: 916-797-4720
Viswanathan Gajendran, MD Urology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
Mr. Abdo J. Faddoul, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza, Suite 285, Roseville, CA 95661 Phone: 916-786-3100 Fax: 916-786-9433
George W. Chiu, MD Urology Medicare: Medicare Enrolled Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000
John E Gould, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1130 Conroy Ln, Suite 100, Roseville, CA 95661 Phone: 916-773-5529 Fax: 916-773-0430
Dr. Carolina Raveau Alvayay, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-797-4719 Fax: 916-797-4721

Emmanuel John Tavares, MD - Medicare Urology in Roseville, CA