Gim H Tan, MD in Roswell, NM - Medicare Pediatrics

Gim H Tan, MD is a medicare enrolled "Pediatrics" physician in Roswell, New Mexico. His current practice location is 813 N Washington Ave, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 622-2606.

Gim H Tan is licensed to practice in New Mexico (license number MD2005-0011) 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 1457323222.

Contact Information

	Gim H Tan, MD
	813 N Washington Ave, Roswell, NM 88201-3941
	(575) 622-2606
	(575) 622-6645

Map and Direction

Physician's Profile

Full Name	Gim H Tan
Gender	Male
Speciality	Pediatrics
Location	813 N Washington Ave, Roswell, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457323222
Provider Enumeration Date: 02/06/2006
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5597792143
Enrollment ID: I20121009000483

Medical Identifiers

Medical identifiers for Gim H Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457323222	NPI	-	NPPES
8026564	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD2005-0011 (New Mexico)	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. Gim H Tan allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Gim H 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
Gim H Tan, MD 813 N Washington Ave, Roswell, NM 88201-3941 Ph: (575) 622-2606	Gim H Tan, MD 813 N Washington Ave, Roswell, NM 88201-3941 Ph: (575) 622-2606

Reviews and Comments

Pediatrics Doctors in Roswell, NM

Dr. Abelardo Garcia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645
Cynthia Amaya, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606
Dr. Michael Paul Marquardt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606
Dr. William George Liakos Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645
Mrs. Leishatt Torreblanca Villena, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 313 W Country Club Rd, Suite 13, Roswell, NM 88201 Phone: 575-625-1371
Dr. Rachel M. Whitlock, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 813 N Washington, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645
Dr. Karen Lynne Carson, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 813 N Washington Ave, Roswell, NM 88201 Phone: 575-622-2606 Fax: 575-622-6645

Gim H Tan, MD - Medicare Pediatrics in Roswell, NM