Ima Sumac Duchicela Tanner, MD - Medicare Family Medicine in Richardson, TX

Ima Sumac Duchicela Tanner, MD is a medicare enrolled "Family Medicine" physician in Richardson, Texas. Her current practice location is 3030 Waterview Pkwy, Richardson, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 669-7070.

Ima Sumac Duchicela Tanner is licensed to practice in Texas (license number R2023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952744021.

Contact Information

Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080
(972) 669-7070
Not Available

Map and Direction




Physician's Profile

Full NameIma Sumac Duchicela Tanner
GenderFemale
SpecialityFamily Medicine
Location3030 Waterview Pkwy, Richardson, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952744021
  • Provider Enumeration Date: 04/09/2013
  • Last Update Date: 06/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941427447
  • Enrollment ID: I20171030001594

Medical Identifiers

Medical identifiers for Ima Sumac Duchicela Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952744021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R2023 (Texas)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. Ima Sumac Duchicela Tanner allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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. Ima Sumac Duchicela Tanner 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
Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080-1400

Ph: (972) 669-7070
Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080

Ph: (972) 669-7070

Reviews and Comments


Family Medicine Doctors in Richardson, TX

Lawrie Hilton Friedman, M.D.
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Dr. Linda Shelton Halbrook, MD
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Charles Murray Kasbarian, M.D.
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Practice Location: 670 W. Arapaho Rd, Suite 6, Richardson, TX 75080
Phone: 972-235-6311    Fax: 972-235-5951
John K Wood, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 970 N Coit Rd Ste 3040, Richardson, TX 75080
Phone: 972-238-8092    Fax: 972-238-8093

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.