Dr Elizabeth Listiani Tan, MD - Medicare Diagnostic Radiology in Mount Laurel, NJ

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Dr Elizabeth Listiani Tan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mount Laurel, New Jersey. She went to Albany Medical College Of Union University and graduated in 1993 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Jefferson University Radiology Associates Llc, Jefferson University Radiology Associates Llc, Jefferson University Physicians and her current practice location is 204 Ark Rd, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 866-8102.

Dr Elizabeth Listiani Tan is licensed to practice in New Jersey (license number 25MA08161200) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346210077.

Contact Information

Dr Elizabeth Listiani Tan, MD
204 Ark Rd,
Mount Laurel, NJ 08054-3100
(856) 866-8102
Not Available

Map and Direction




Physician's Profile

Full NameDr Elizabeth Listiani Tan
GenderFemale
SpecialityDiagnostic Radiology
Experience32 Years
Location204 Ark Rd, Mount Laurel, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Elizabeth Listiani Tan attended and graduated from Albany Medical College Of Union University in 1993
  NPI Data:
  • NPI Number: 1346210077
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 03/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1355443375
  • Enrollment ID: I20070222000256

Medical Identifiers

Medical identifiers for Dr Elizabeth Listiani Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346210077NPI-NPPES
0017419190001MedicaidPA
0129267MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA08161200 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson HeathPhiladelphia, PAHospital
Abington Memorial HospitalAbington, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson University Radiology Associates Llc731584570891
Jefferson University Radiology Associates Llc731584570891
Jefferson University Physicians79118191801273

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 Elizabeth Listiani Tan allows following entities to bill medicare on her behalf.
Entity NameLarchmont Imaging Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710932603
PECOS PAC ID: 5193762433
Enrollment ID: O20050408000523
Entity NameJefferson University Physicians Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083039200
PECOS PAC ID: 9931325131
Enrollment ID: O20140724000727
Entity NameJefferson University Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972169902
PECOS PAC ID: 7315845708
Enrollment ID: O20190924002409

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 Elizabeth Listiani 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
Dr Elizabeth Listiani Tan, MD
1295 Route 38, Po Box 479,
Hainesport, NJ 08036-2702

Ph: (609) 914-7017		Dr Elizabeth Listiani Tan, MD
204 Ark Rd,
Mount Laurel, NJ 08054-3100

Ph: (856) 866-8102

Reviews and Comments


Radiology Doctors in Mount Laurel, NJ

Dr. Howard S. Berinson, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 856-261-4500    Fax: 609-261-4180
Dr. Nick Maravich, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 856-778-8860    Fax: 609-261-4180
Dr. Robert T. Harvey, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 856-778-8860    Fax: 609-261-4180
Dr. Britton Miller Chan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Ark Road, Mount Laurel, NJ 08054
Phone: 609-914-7017    
Dr. Sungtae Lim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 856-778-8860    Fax: 609-261-4180
Dr. Priyesh Patel, M.D.
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 609-261-4500    Fax: 609-261-4180
Dr. Kevin P. Barry, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Ark Rd, Mount Laurel, NJ 08054
Phone: 856-778-8860    Fax: 609-261-4180

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.