Chung Ning Tan, MD - Medicare Family Medicine in Fort Wayne, IN

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Chung Ning Tan, MD is a medicare enrolled "Family Medicine" physician in Fort Wayne, Indiana. His current practice location is 7230 Engle Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 234-5400.

Chung Ning Tan is licensed to practice in Indiana (license number 01077240A) 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 1619357779.

Contact Information

Chung Ning Tan, MD
7230 Engle Rd,
Fort Wayne, IN 46804
(260) 234-5400
(260) 234-5410

Map and Direction




Physician's Profile

Full NameChung Ning Tan
GenderMale
SpecialityFamily Medicine
Location7230 Engle Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619357779
  • Provider Enumeration Date: 06/04/2015
  • Last Update Date: 10/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052623394
  • Enrollment ID: I20161017000359

Medical Identifiers

Medical identifiers for Chung Ning Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619357779NPI-NPPES
000001176909OtherINANTHEM BCBS
201297950MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11018187 (Indiana)Secondary
207Q00000XFamily Medicine 01077240A (Indiana)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. Chung Ning Tan allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Ball Memorial Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameProfessional Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144215096
PECOS PAC ID: 2769384213
Enrollment ID: O20040123000999
Entity NameCommunity Hospital Of Lagrange County, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1679674956
PECOS PAC ID: 1355382706
Enrollment ID: O20140318000136
Entity NameParkview Wabash Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1245259878
PECOS PAC ID: 0244553360
Enrollment ID: O20141222002050
Entity NameIndiana University Health Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750763819
PECOS PAC ID: 0042526063
Enrollment ID: O20150904000941
Entity NameParkview Wabash Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891176590
PECOS PAC ID: 0244553360
Enrollment ID: O20181128002503
Entity NameIndiana University Health Fort Wayne Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316550445
PECOS PAC ID: 5193138527
Enrollment ID: O20210104001512

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. Chung Ning 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 AddressPractice Location Address
Chung Ning Tan, MD
1200 W White River Blvd, Provider Enrollment Department,
Muncie, IN 47303-4988

Ph: (260) 234-5400		Chung Ning Tan, MD
7230 Engle Rd,
Fort Wayne, IN 46804

Ph: (260) 234-5400

Reviews and Comments


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Brian A. Adams, MD
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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.