Mr Keith John Tanenbaum, LCSW - Medicare Counselor in South Lake Tahoe, CA

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Mr Keith John Tanenbaum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in South Lake Tahoe, California. His current practice location is 924 Emerald Bay Rd, First Floor, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 782-9889.

Mr Keith John Tanenbaum is licensed to practice in California (license number 107974) 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 1477169605.

Contact Information

Mr Keith John Tanenbaum, LCSW
924 Emerald Bay Rd, First Floor,
South Lake Tahoe, CA 96150
(530) 782-9889
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Keith John Tanenbaum
GenderMale
SpecialitySocial Worker - Clinical
Location924 Emerald Bay Rd, South Lake Tahoe, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477169605
  • Provider Enumeration Date: 09/22/2020
  • Last Update Date: 10/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779968912
  • Enrollment ID: I20220923001787

Medical Identifiers

Medical identifiers for Mr Keith John Tanenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477169605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 89589 (California)Secondary
2084H0002XPsychiatry & Neurology - Hospice And Palliative Medicine 107074 (California)Secondary
1041C0700XSocial Worker - Clinical 107974 (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. Mr Keith John Tanenbaum allows following entities to bill medicare on his behalf.
Entity NameTahoe Carson Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834
Entity NameBarton Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750950499
PECOS PAC ID: 5395127682
Enrollment ID: O20220803001208

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. Mr Keith John Tanenbaum 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 AddressPractice Location Address
Mr Keith John Tanenbaum, LCSW
1362 Us Highway 395 N Ste 102-27,
Gardnerville, NV 89410-7306

Ph: (530) 782-9889		Mr Keith John Tanenbaum, LCSW
924 Emerald Bay Rd, First Floor,
South Lake Tahoe, CA 96150

Ph: (530) 782-9889

Reviews and Comments


Social Worker in South Lake Tahoe, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.