Dr Christian Alexander Tagle, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Colton, California. His current practice location is
400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at
(909) 580-1000.
Dr Christian Alexander Tagle is licensed to practice in * (Not Available) (license number ) 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 1578131603.
Physician's Profile
Full Name | Dr Christian Alexander Tagle |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 400 N Pepper Ave, Colton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578131603
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971041138
- Enrollment ID: I20240819003377
Medical Identifiers
Medical identifiers for Dr Christian Alexander Tagle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578131603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 20A22608 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Christian Alexander Tagle allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Rural Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730682394 PECOS PAC ID: 2062767148 Enrollment ID: O20180613000951 |
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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. Dr Christian Alexander Tagle 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 |
Dr Christian Alexander Tagle, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () - | Dr Christian Alexander Tagle, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-1000 |
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