Simon S Tan, MD - Medicare Neurology in Southlake, TX

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Simon S Tan, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Southlake, Texas. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Txiom Llc, Oversite Neuro, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc, Surgical Neuromonitoring, Pllc and his current practice location is 731 E Southlake Blvd, 170, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 488-0100.

Simon S Tan is licensed to practice in Texas (license number L2023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811001365.

Contact Information

Simon S Tan, MD
731 E Southlake Blvd, 170,
Southlake, TX 76092-6377
(817) 488-0100
(817) 488-4568

Map and Direction




Physician's Profile

Full NameSimon S Tan
GenderMale
SpecialityNeurology
Experience37 Years
Location731 E Southlake Blvd, Southlake, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Simon S Tan graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1811001365
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 04/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567363187
  • Enrollment ID: I20101008000268

Medical Identifiers

Medical identifiers for Simon S Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811001365NPI-NPPES
151996901MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0008XPsychiatry & Neurology - Neuromuscular Medicine L2023 (Texas)Secondary
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology L2023 (Texas)Secondary
2084P0301XPsychiatry & Neurology - Brain Injury Medicine L2023 (Texas)Secondary
2084N0400XPsychiatry & Neurology - Neurology L2023 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Regional Medical CenterSalisbury, MDHospital
University Of Md St Joseph Medical CenterTowson, MDHospital
Mercy Medical Center IncBaltimore, MDHospital
Medical City Fort WorthFort worth, TXHospital
Umd Prince George's Hospital CtrCheverly, MDHospital

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. Simon S Tan allows following entities to bill medicare on his behalf.
Entity NameSimon S Tan, Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326152851
PECOS PAC ID: 7315848918
Enrollment ID: O20040116000465
Entity NameEudaimonia Neurology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770763278
PECOS PAC ID: 1557375748
Enrollment ID: O20060126000582
Entity NameTxiom Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689075095
PECOS PAC ID: 3678839735
Enrollment ID: O20171107001284
Entity NameSurgical Neuromonitoring, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124338025
PECOS PAC ID: 9537341003
Enrollment ID: O20191014003085
Entity NameLisbon Tech Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780110684
PECOS PAC ID: 4183049315
Enrollment ID: O20200805002957
Entity NameForefront Medical Solutions, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063043503
PECOS PAC ID: 2668878505
Enrollment ID: O20210901001728
Entity NameOversite Neuro
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629747753
PECOS PAC ID: 5890193114
Enrollment ID: O20211018000269
Entity NameHpl Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184265654
PECOS PAC ID: 4688067754
Enrollment ID: O20220214000964
Entity NameAccusync Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891570636
PECOS PAC ID: 6709233315
Enrollment ID: O20231103000282

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. Simon S 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
Simon S Tan, MD
731 E Southlake Blvd Ste 170,
Southlake, TX 76092-6382

Ph: (817) 488-0100		Simon S Tan, MD
731 E Southlake Blvd, 170,
Southlake, TX 76092-6377

Ph: (817) 488-0100

Reviews and Comments


Psychiatry & Neurology Doctors in Southlake, TX

Dr. Mahta Ostadian, M.D.
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Rodolfo Molina, M.D.
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Dr. James Francesconi, MD
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Mrs. Laura Marcela Fredes, MD
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Practice Location: 536 Silicon Dr Ste 102, Southlake, TX 76092
Phone: 817-203-4179    Fax: 817-259-2793

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.