Tanbeena Imam, MD in Kalamazoo, MI

Tanbeena Imam, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Kalamazoo, Michigan. Her current practice location is 601 John St Ste M-351, Kalamazoo, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 341-7784.

Tanbeena Imam is licensed to practice in Michigan (license number 4301116025) 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 1134489651.

Contact Information

	Tanbeena Imam, MD
	601 John St Ste M-351, Kalamazoo, MI 49007-5358
	(269) 341-7784
	Not Available

Map and Direction

Physician's Profile

Full Name	Tanbeena Imam
Gender	Female
Speciality	Pediatrics - Pediatric Gastroenterology
Location	601 John St Ste M-351, Kalamazoo, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134489651
Provider Enumeration Date: 05/17/2012
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4284948456
Enrollment ID: I20180824001366

Medical Identifiers

Medical identifiers for Tanbeena Imam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134489651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301116025 (Michigan)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	4301116025 (Michigan)	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. Tanbeena Imam allows following entities to bill medicare on her behalf.

Entity Name	Bronson Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832

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. Tanbeena Imam 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
Tanbeena Imam, MD 601 John St Ste M-351, Kalamazoo, MI 49007-5358 Ph: (269) 341-7784	Tanbeena Imam, MD 601 John St Ste M-351, Kalamazoo, MI 49007-5358 Ph: (269) 341-7784

Reviews and Comments

Pediatrics Doctors in Kalamazoo, MI

Nancy J Hilleren, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030
Martin B Draznin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6430
Yamini Kuchipudi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400
Dr. Erica Vanderkooy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6400
Randall L Dyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5629 Stadium Dr, Kalamazoo, MI 49009 Phone: 269-372-1000 Fax: 269-372-0698
Sonia Lynn Joychan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400
Van Don Williams Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601 John St Ste E-352, Kalamazoo, MI 49007 Phone: 269-341-8986

Tanbeena Imam, MD - Medicare Pediatrics in Kalamazoo, MI