Desmond Ty Tan, MD | |
9201 Big Horn Blvd, Elk Grove, CA 95758-1240 | |
(916) 478-5100 | |
Not Available |
Full Name | Desmond Ty Tan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 9201 Big Horn Blvd, Elk Grove, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780625863 | NPI | - | NPPES |
001970260 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C53075 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Desmond Ty Tan, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Desmond Ty Tan, MD 9201 Big Horn Blvd, Elk Grove, CA 95758-1240 Ph: (916) 478-5100 |
Dr. David Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Dr, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 | |
Mrs. Nichole Michelle Renschler, PAC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Laguna Blvd Ste 114, Elk Grove, CA 95758 Phone: 916-887-7940 Fax: 916-887-4045 | |
Nina Kaur Khangura, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8220 Wymark Dr, Suite 200, Elk Grove, CA 95757 Phone: 916-691-8500 Fax: 916-691-8599 | |
Dr. Mira Roganovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8220 Wymark Drive, Suite 200, Elk Grove, CA 95757 Phone: 916-667-0600 Fax: 916-683-0232 | |
Dr. Radhika Nandur Bukkapatnam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8110 Laguna Blvd, Elk Grove, CA 95758 Phone: 916-683-3950 Fax: 916-683-3970 | |
Dr. Eddy Y Joelson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 8260 Longleaf Dr Bldg C, Elk Grove, CA 95758 Phone: 916-691-9827 | |
Mahmoud Khattab, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9390 Big Horn Blvd, 145, Elk Grove, CA 95758 Phone: 916-691-6666 Fax: 916-691-6668 |