Dr Antonio A Tan, MD | |
12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 | |
(951) 485-2744 | |
Not Available |
Full Name | Dr Antonio A Tan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 49 Years |
Location | 12980 Frederick St, Moreno Valley, 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 |
---|---|---|---|
1134277569 | NPI | - | NPPES |
00A454161 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A45416 (California) | Primary |
Entity Name | Antonio A Tan Md Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003870676 PECOS PAC ID: 9133177306 Enrollment ID: O20050105000392 |
Mailing Address | Practice Location Address |
---|---|
Dr Antonio A Tan, MD 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 Ph: (951) 485-2744 | Dr Antonio A Tan, MD 12980 Frederick St, Suite D, Moreno Valley, CA 92553-5263 Ph: (951) 485-2744 |
Mr. Roger Courtney Garrison, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Dr. Sharina Mary Mapleton, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27200 Iris Ave, Mob2, Moreno Valley, CA 92555 Phone: 951-353-2000 | |
Made Sutjita, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5700 Fax: 951-486-5705 | |
Eunwoo Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Gamal F Ghaly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14114 Business Center Dr. Ste. G, Moreno Valley, CA 92553 Phone: 951-656-5333 Fax: 951-656-6789 | |
Dr. John-vincent Arcilla, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Zebayel Akele Baye, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Physician Services, Moreno Valley, CA 92555 Phone: 951-486-5750 |