Mrs Lyndy M Tanimae, PA-C is a medicare enrolled "Physician Assistant" in Ventnor City, New Jersey. Her current practice location is
6601 Ventnor Ave Ste 105, Ventnor City, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 350-6680.
Mrs Lyndy M Tanimae is licensed to practice in New Jersey (license number 25MP00080800) 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 1134140403.
Provider's Profile
| Full Name | Mrs Lyndy M Tanimae |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6601 Ventnor Ave Ste 105, Ventnor City, New Jersey |
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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: 1134140403
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 09/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769540814
- Enrollment ID: I20081020000067
Medical Identifiers
Medical identifiers for Mrs Lyndy M Tanimae such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134140403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 25MP00080800 (New Jersey) | Primary |
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. Mrs Lyndy M Tanimae 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 |
Mrs Lyndy M Tanimae, PA-C 175 W Cohawkin Rd Ste C, Clarksboro, NJ 08020-1145 Ph: (856) 423-7700 | Mrs Lyndy M Tanimae, PA-C 6601 Ventnor Ave Ste 105, Ventnor City, NJ 08406 Ph: (609) 350-6680 |
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