Hendrik Ryan Lumakang Tan, DPM in Ukiah, CA - Medicare Podiatrist Provider

Hendrik Ryan Lumakang Tan, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ukiah, California. His current practice location is 240 Hospital Dr, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (707) 467-5360.

Hendrik Ryan Lumakang Tan is licensed to practice in California (license number E6011) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316561871.

Contact Information

	Hendrik Ryan Lumakang Tan, DPM
	240 Hospital Dr, Ukiah, CA 95482-4558
	(707) 467-5360
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Hendrik Ryan Lumakang Tan
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	240 Hospital Dr, Ukiah, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316561871
Provider Enumeration Date: 06/01/2020
Last Update Date: 02/17/2026

Medicare PECOS Information:

PECOS PAC ID: 2567827066
Enrollment ID: I20230506000287

Medical Identifiers

Medical identifiers for Hendrik Ryan Lumakang Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316561871	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	E6011 (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. Hendrik Ryan Lumakang Tan allows following entities to bill medicare on his behalf.

Provider Name	Podiatry Associates Of Indiana Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606935 PECOS PAC ID: 0143295253 Enrollment ID: O20040901000419

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. Hendrik Ryan Lumakang 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
Hendrik Ryan Lumakang Tan, DPM 240 Hospital Dr, Ukiah, CA 95482-4558 Ph: () -	Hendrik Ryan Lumakang Tan, DPM 240 Hospital Dr, Ukiah, CA 95482-4558 Ph: (707) 467-5360

Reviews and Comments

Podiatrist in Ukiah, CA

Michael R. Cosenza, Dpm, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 238 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-463-3668 Fax: 707-463-3664
Bay Area Foot Care Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 172 Washington Ave Ste A, Ukiah, CA 95482 Phone: 707-462-7729 Fax: 707-462-0617
Mr. Jonathan Ben Kreger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 172 Washington Ave, Ste A, Ukiah, CA 95482 Phone: 707-462-7729 Fax: 707-462-0617
Dr. Michael Rudolph Cosenza, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 238 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-463-3668 Fax: 707-463-3664

Hendrik Ryan Lumakang Tan, DPM - Medicare Podiatrist in Ukiah, CA