Dr Thomas S Tanbonliong, DDS in Los Angeles, CA

Dr Thomas S Tanbonliong, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Los Angeles, California. His current practice location is 411 N Larchmont Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 304-5763.

Dr Thomas S Tanbonliong is licensed to practice in California (license number 42618) 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 1689886624.

Contact Information

	Dr Thomas S Tanbonliong, DDS
	411 N Larchmont Blvd, Los Angeles, CA 90004-3013
	(323) 304-5763
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas S Tanbonliong
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	411 N Larchmont Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689886624
Provider Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618394594
Enrollment ID: I20200825000471

Medical Identifiers

Medical identifiers for Dr Thomas S Tanbonliong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689886624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	42618 (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. Dr Thomas S Tanbonliong allows following entities to bill medicare on his behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Oral & Maxillofacial Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679652598 PECOS PAC ID: 1254223126 Enrollment ID: O20040325001597

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Ucsf Oral Medicine Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376612960 PECOS PAC ID: 2062498926 Enrollment ID: O20040629001574

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. Dr Thomas S Tanbonliong 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
Dr Thomas S Tanbonliong, DDS 411 N Larchmont Blvd, Los Angeles, CA 90004-3013 Ph: (323) 304-5763	Dr Thomas S Tanbonliong, DDS 411 N Larchmont Blvd, Los Angeles, CA 90004-3013 Ph: (323) 304-5763

Reviews and Comments

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Dr Thomas S Tanbonliong, DDS - Medicare Dentist in Los Angeles, CA