Irma Tan, is a medicare enrolled "Nurse Practitioner - Family" in San Monica, California. Her current practice location is
1250 16th Street, San Monica, California. You can reach out to her office (for appointments etc.) via phone at
(424) 333-2251.
Irma Tan is licensed to practice in California (license number 95001459) 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 1427454255.
Provider's Profile
| Full Name | Irma Tan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1250 16th Street, San Monica, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427454255
- Provider Enumeration Date: 11/05/2014
- Last Update Date: 07/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 3779801071
- Enrollment ID: I20150417000038
Medical Identifiers
Medical identifiers for Irma Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1427454255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 95001459 (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. Irma Tan allows following entities to bill medicare on her behalf.
| Entity Name | Elite Pain Management Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346449394 PECOS PAC ID: 6204922388 Enrollment ID: O20081204000636 |
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| Entity Name | Reekeshrpatelmd Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225493356 PECOS PAC ID: 7416255039 Enrollment ID: O20160415000498 |
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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. Irma 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 |
Irma Tan, 2238 S Grand Ave, San Pedro, CA 90731-5914 Ph: (424) 333-2251 | Irma Tan, 1250 16th Street, San Monica, CA 90731 Ph: (424) 333-2251 |
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