Angelica Tan, NURSE PRACTIONER in Redlands, CA

Angelica Tan, NURSE PRACTIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Redlands, California. Her current practice location is 461 Tennessee St Ste C, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 475-7371.

Angelica Tan is licensed to practice in California (license number 95020641) 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 1437860020.

Contact Information

	Angelica Tan, NURSE PRACTIONER
	461 Tennessee St Ste C, Redlands, CA 92373-8161
	(909) 475-7371
	(855) 233-7921

Map and Direction

Provider's Profile

Full Name	Angelica Tan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	461 Tennessee St Ste C, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437860020
Provider Enumeration Date: 12/06/2022
Last Update Date: 07/02/2025

Medicare PECOS Information:

PECOS PAC ID: 9436519188
Enrollment ID: I20230713001917

Medical Identifiers

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

Identifier	Type	State	Issuer
1437860020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95020641 (California)	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. Angelica Tan allows following entities to bill medicare on her behalf.

Entity Name	Mission City Community Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544

Entity Name	Jun R. Chiong, Md, Mph, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093099046 PECOS PAC ID: 5597925974 Enrollment ID: O20120321000723

Entity Name	Medex Specialty Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659134252 PECOS PAC ID: 1153761697 Enrollment ID: O20240430003895

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. Angelica 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
Angelica Tan, NURSE PRACTIONER 29095 Bayleaf Cir, Menifee, CA 92584-3350 Ph: () -	Angelica Tan, NURSE PRACTIONER 461 Tennessee St Ste C, Redlands, CA 92373-8161 Ph: (909) 475-7371

Reviews and Comments

Nurse Practitioner Nurses in Redlands, CA

John Adeniji, N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 W Redlands Blvd, Redlands, CA 92373 Phone: 909-335-3026
Cynthia L Pacheco, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Mrs. Lisa C Anderson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311 Fax: 909-796-4158
Natasha Mirella Ramirez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 103, Redlands, CA 92373 Phone: 909-558-6600
Mark Alan Hiday, F.N.P.-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Terracina Blvd, Redlands, CA 92373 Phone: 909-335-5500
Sunah Song, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26001 Redlands Blvd # 117, Redlands, CA 92373 Phone: 909-894-7677
Julia Sporka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9980 Alabama St # F2, Redlands, CA 92374 Phone: 909-335-0980

Angelica Tan, NURSE PRACTIONER - Medicare Nurse Practitioner in Redlands, CA