Lo Fu Tan, MD in San Ysidro, CA - Medicare Family Medicine

Lo Fu Tan, MD is a medicare enrolled "Family Medicine" physician in San Ysidro, California. His current practice location is 3364 Beyer Blvd Ste 102, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at (702) 617-1227.

Lo Fu Tan is licensed to practice in California (license number C170935) 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 1356314835.

Contact Information

	Lo Fu Tan, MD
	3364 Beyer Blvd Ste 102, San Ysidro, CA 92173-1322
	(702) 617-1227
	(702) 492-1589

Map and Direction

Physician's Profile

Full Name	Lo Fu Tan
Gender	Male
Speciality	Family Medicine
Location	3364 Beyer Blvd Ste 102, San Ysidro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356314835
Provider Enumeration Date: 02/07/2006
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9830188309
Enrollment ID: I20040510000913

Medical Identifiers

Medical identifiers for Lo Fu Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356314835	NPI	-	NPPES
1356314835	Medicaid	NV
100502942	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C170935 (California)	Primary
207Q00000X	Family Medicine	10849 (Nevada)	Secondary

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. Lo Fu Tan allows following entities to bill medicare on his behalf.

Entity Name	Southwest Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102

Entity Name	Optum Medical Group Ii Rhodes P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556037 PECOS PAC ID: 4981687779 Enrollment ID: O20040611000770

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. Lo Fu 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
Lo Fu Tan, MD 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (702) 617-1227	Lo Fu Tan, MD 3364 Beyer Blvd Ste 102, San Ysidro, CA 92173-1322 Ph: (702) 617-1227

Reviews and Comments

Family Medicine Doctors in San Ysidro, CA

Jay Downey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-424-4463 Fax: 619-428-7952
Dr. Justin Michael Bennink, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Cesar Duque Gomez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952
Karla Jannet Garcia, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6349 Fax: 619-428-7952
Dr. Ryan William Mcintyre, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Charles R Davis, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 303-579-9268
David Lepez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-205-6316

Lo Fu Tan, MD - Medicare Family Medicine in San Ysidro, CA