Belen M Tan, MD | |
4343 W Newberry Rd, Suite 1, Gainesville, FL 32607-2817 | |
(352) 331-3502 | |
(352) 331-3488 |
Full Name | Belen M Tan |
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Gender | Female |
Speciality | Allergy & Immunology |
Location | 4343 W Newberry Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326025594 | NPI | - | NPPES |
250810900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | ME71200 (Florida) | Primary |
Entity Name | Southeastern Integrated Medical Pl |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871573949 PECOS PAC ID: 4981697216 Enrollment ID: O20040405000448 |
Entity Name | Simedhealth Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639680127 PECOS PAC ID: 6608137054 Enrollment ID: O20180227000525 |
Mailing Address | Practice Location Address |
---|---|
Belen M Tan, MD 4881 Nw 8th Ave, Suite 2, Gainesville, FL 32605-4582 Ph: (352) 373-6338 | Belen M Tan, MD 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607-2817 Ph: (352) 331-3502 |
Mercedes T Pernice, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
Jordan Lupo Heath, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 Newberry Rd Ste 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
Erinn Samantha Kellner, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611 | |
Mr. Thomas L Johnson Ii, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
Antonio L Bunker-soler, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4343 W Newberry Rd, Suite 1, Gainesville, FL 32607 Phone: 352-331-3502 Fax: 352-331-3488 | |
Dr. Madhukar K. Punja, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1173 Nw 64th Ter, Gainesville, FL 32605 Phone: 352-331-2485 Fax: 352-331-0047 |