Dr Ellen Tambunan, MD in Niles, MI - Medicare Family Medicine

Dr Ellen Tambunan, MD is a medicare enrolled "Family Medicine" physician in Niles, Michigan. Her current practice location is 4 Longmeadow Village Dr, Niles, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 684-6000.

Dr Ellen Tambunan is licensed to practice in Michigan (license number 4301062919) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235102823.

Contact Information

	Dr Ellen Tambunan, MD
	4 Longmeadow Village Dr, Niles, MI 49120-7809
	(269) 684-6000
	(269) 684-1388

Map and Direction

Physician's Profile

Full Name	Dr Ellen Tambunan
Gender	Female
Speciality	Family Medicine
Location	4 Longmeadow Village Dr, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235102823
Provider Enumeration Date: 02/13/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6507857968
Enrollment ID: I20190417002972

Medical Identifiers

Medical identifiers for Dr Ellen Tambunan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235102823	NPI	-	NPPES
339031110	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301062919 (Michigan)	Primary

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 Ellen Tambunan 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 Ellen Tambunan, MD 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 Ph: (269) 471-7741	Dr Ellen Tambunan, MD 4 Longmeadow Village Dr, Niles, MI 49120-7809 Ph: (269) 684-6000

Reviews and Comments

Family Medicine Doctors in Niles, MI

Rosa Lee Johnson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
Glenda M Gensolin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400
Elizabeth Ann Mcglothlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199
Lindsey Kathryn Kinney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Longmeadow Village Drive, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
James E Strycker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199
John W. Howard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4 Longmeadow Village Dr, Niles, MI 49120 Phone: 269-684-6000 Fax: 269-684-1388
Dr. Charles Andrew Mosimbwa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 E Main St, Niles, MI 49120 Phone: 269-683-7411

Dr Ellen Tambunan, MD - Medicare Family Medicine in Niles, MI