Jacqueline Tan, PA-C - Medicare Allergy & Immunology in San Jose, CA

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Jacqueline Tan, PA-C is a medicare enrolled "Allergy & Immunology" physician in San Jose, California. Her current practice location is 2211 Moorpark Ave Ste 130, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 286-1707.

Jacqueline Tan is licensed to practice in California (license number 64013) 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 1811619349.

Contact Information

Jacqueline Tan, PA-C
2211 Moorpark Ave Ste 130,
San Jose, CA 95128-2655
(408) 286-1707
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Tan
GenderFemale
SpecialityAllergy & Immunology
Location2211 Moorpark Ave Ste 130, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811619349
  • Provider Enumeration Date: 09/12/2022
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355873225
  • Enrollment ID: I20241016003058

Medical Identifiers

Medical identifiers for Jacqueline Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811619349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology 64013 (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. Jacqueline Tan allows following entities to bill medicare on her behalf.
Entity NameSouth Bay Allergy & Asthma Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649467556
PECOS PAC ID: 6305817784
Enrollment ID: O20040802000606

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. Jacqueline 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 AddressPractice Location Address
Jacqueline Tan, PA-C
2211 Moorpark Ave Ste 130,
San Jose, CA 95128-2655

Ph: (408) 286-1707		Jacqueline Tan, PA-C
2211 Moorpark Ave Ste 130,
San Jose, CA 95128-2655

Ph: (408) 286-1707

Reviews and Comments


Allergy & Immunology Doctors in San Jose, CA

Mona M Liu, MD
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Practice Location: 270 International Cir, San Jose, CA 95119
Phone: 408-890-0629    
Alan B Goldsobel, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4050 Moorpark Ave, San Jose, CA 95117
Phone: 408-243-2700    Fax: 408-551-2394
James D Wolfe, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 4050 Moorpark Ave, San Jose, CA 95117
Phone: 408-243-2700    Fax: 408-553-0750
Dr. Theodore J Chu, M.D.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Bellerose Dr, San Jose, CA 95128
Phone: 408-816-8923    Fax: 669-242-7914
Deepti Vellaichamy Manian, MD
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Medicare: Medicare Enrolled
Practice Location: 270 International Cir Bldg 31, San Jose, CA 95119
Phone: 408-363-4597    
Anlin Xu, M.D.
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 130 Bellerose Dr, San Jose, CA 95128
Phone: 408-286-1707    Fax: 408-286-1744
Robert T Torrano, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 4050 Moorpark Avenue, San Jose, CA 95117
Phone: 408-243-2700    Fax: 408-553-0750

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.