Alvin Tan, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is
286 Euclid Ave, #102, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(619) 266-2111.
Alvin Tan is licensed to practice in California (license number 94348) 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 1588079123.
Healthcare Provider's Profile
| Full Name | Alvin Tan |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 286 Euclid Ave, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588079123
- Provider Enumeration Date: 06/23/2014
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385029339
- Enrollment ID: I20220912003895
Medical Identifiers
Medical identifiers for Alvin Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588079123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 94348 (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. Alvin Tan allows following entities to bill medicare on his behalf.
| Entity Name | Fusion Care Group A Psychological Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275177982
PECOS PAC ID: 8921433590
Enrollment ID: O20200109000932 |
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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. Alvin 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 |
|---|
Alvin Tan,
286 Euclid Ave, #102,
San Diego, CA 92114-3611
Ph: (619) 266-2111 | Alvin Tan,
286 Euclid Ave, #102,
San Diego, CA 92114-3611
Ph: (619) 266-2111 |
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