Mary Jane Tanawan San Antonio, MD in Fontana, CA

Mary Jane Tanawan San Antonio, MD is a medicare enrolled "Family Medicine" physician in Fontana, California. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-3910.

Mary Jane Tanawan San Antonio is licensed to practice in California (license number A96973) 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 1700066354.

Contact Information

	Mary Jane Tanawan San Antonio, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Jane Tanawan San Antonio
Gender	Female
Speciality	Family Practice
Experience	31 Years
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Jane Tanawan San Antonio graduated from medical school in 1993

NPI Data:

NPI Number: 1700066354
Provider Enumeration Date: 11/13/2007
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0345327078
Enrollment ID: I20080404000808

Medical Identifiers

Medical identifiers for Mary Jane Tanawan San Antonio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700066354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A96973 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Mary Jane Tanawan San Antonio allows following entities to bill medicare on her behalf.

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. Mary Jane Tanawan San Antonio 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
Mary Jane Tanawan San Antonio, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Mary Jane Tanawan San Antonio, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Family Medicine Doctors in Fontana, CA

Robert M. Theal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Todd A. Westra, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Pushkar Chand, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Huy Phan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5000
Dr. Yolandie Mccoskey, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-2049
William J. Delo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
John R. Sharpe Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Mary Jane Tanawan San Antonio, MD - Medicare Family Practice in Fontana, CA