Cheryl Ann Tanasovich, MD in Greenbrae, CA

Cheryl Ann Tanasovich, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Greenbrae, California. Her current practice location is 1300 S Eliseo Dr, Suite 207, Greenbrae, California. You can reach out to her office (for appointments etc.) via phone at (415) 925-0550.

Cheryl Ann Tanasovich is licensed to practice in California (license number G53455) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215960844.

Contact Information

	Cheryl Ann Tanasovich, MD
	1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023
	(415) 925-0550
	(415) 925-9062

Map and Direction

Physician's Profile

Full Name	Cheryl Ann Tanasovich
Gender	Female
Speciality	Dermatology - Procedural Dermatology
Location	1300 S Eliseo Dr, Greenbrae, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215960844
Provider Enumeration Date: 07/08/2006
Last Update Date: 07/18/2007

Medicare PECOS Information:

PECOS PAC ID: 4486747979
Enrollment ID: I20070829000301

Medical Identifiers

Medical identifiers for Cheryl Ann Tanasovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215960844	NPI	-	NPPES
00G534551	Other	CA	MEDI-CAL PROVIDER NUMBER
931041613	Other	CA	TRICARE PROVIDER NUMBER
0004133440	Other	CA	AETNA PROVIDER NUMBER
00G534550	Other	CA	BLUE SHIELD PROV #
070003525	Other	CA	RAILROAD MEDICARE PROV #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	G53455 (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. Cheryl Ann Tanasovich allows following entities to bill medicare on her behalf.

Entity Name	Greenbrae Dermatology, A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174898654 PECOS PAC ID: 4789832908 Enrollment ID: O20130123000375

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. Cheryl Ann Tanasovich 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
Cheryl Ann Tanasovich, MD 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 Ph: (415) 925-0550	Cheryl Ann Tanasovich, MD 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 Ph: (415) 925-0550

Reviews and Comments

Dermatology Doctors in Greenbrae, CA

John L. Maddox, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1300 S Eliseo Dr Ste 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
Dr. Benjamin Joseph Nichols, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904 Phone: 415-925-0550 Fax: 415-925-9062
Dr. Diana Deangelis Parnell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1100 S Eliseo Dr, Suite 2, Greenbrae, CA 94904 Phone: 415-461-1036 Fax: 415-461-1043

Cheryl Ann Tanasovich, MD - Medicare Dermatology in Greenbrae, CA