Nicholas Gan Tan, DPM in Vallejo, CA - Medicare Podiatry Provider

Nicholas Gan Tan, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Vallejo, California. He went to Temple University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (909) 633-2881.

Nicholas Gan Tan is licensed to practice in California (license number EL6709) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346657327.

Contact Information

	Nicholas Gan Tan, DPM
	975 Sereno Dr, Vallejo, CA 94589-2441
	(909) 633-2881
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Gan Tan
Gender	Male
Speciality	Podiatry
Experience	10 Years
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas Gan Tan attended and graduated from Temple University School Of Medicine in 2014

NPI Data:

NPI Number: 1346657327
Provider Enumeration Date: 07/22/2014
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 2860735396
Enrollment ID: I20190523001856

Medical Identifiers

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

Identifier	Type	State	Issuer
1346657327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	EL6709 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital, Riverside	Riverside, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Nicholas Gan Tan allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Nicholas Gan 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
Nicholas Gan Tan, DPM 521 Greenbriar Cir, Petaluma, CA 94954-3528 Ph: (909) 633-2881	Nicholas Gan Tan, DPM 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (909) 633-2881

Reviews and Comments

Podiatrist in Vallejo, CA

Napa Solano Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 1460 N Camino Alto, Suite 101, Vallejo, CA 94589 Phone: 707-644-4049 Fax: 707-644-4687
Ronald Delosreyes Paterno, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Dr. Monica Jung, Podiatrist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Stephen Haynam, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3338
Ninveh Omlin, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5033 Fax: 707-651-3685
Lance Vanwoy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Nicholas Gan Tan, DPM - Medicare Podiatrist in Vallejo, CA