Marissa Luan Tan, DO, MPH is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Camden, New Jersey. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Addiction Medicine. She is a member of the group practice Cmc Dept Of Medicine Group Pa and her current practice location is
800 Cooper St Ste 4004th, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 342-3040.
Marissa Luan Tan is licensed to practice in Pennsylvania (license number OS020328) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720583818.
Physician's Profile
| Full Name | Marissa Luan Tan |
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| Gender | Female |
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| Speciality | Addiction Medicine |
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| Experience | 7 Years |
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| Location | 800 Cooper St Ste 4004th, Camden, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marissa Luan Tan graduated from medical school in 2018
NPI Data:
- NPI Number: 1720583818
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870998503
- Enrollment ID: I20240621003694
Medical Identifiers
Medical identifiers for Marissa Luan Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720583818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0300X | Preventive Medicine - Addiction Medicine | H0087983 (Maryland) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 25MB12089100 (New Jersey) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 25MB12089100 (New Jersey) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | OS020328 (Pennsylvania) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | H0087983 (Maryland) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | OS020328 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cmc Dept Of Medicine Group Pa | 2163335878 | 430 |
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. Marissa Luan Tan allows following entities to bill medicare on her behalf.
| Entity Name | Cmc Dept Of Medicine Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386682094
PECOS PAC ID: 2163335878
Enrollment ID: O20050104000343 |
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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. Marissa Luan 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 |
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Marissa Luan Tan, DO, MPH
1 Federal St Ste 200,
Camden, NJ 08103-1088
Ph: (848) 288-6935 | Marissa Luan Tan, DO, MPH
800 Cooper St Ste 4004th,
Camden, NJ 08102-1155
Ph: (856) 342-3040 |
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