Dr Gordon Tan, MD - Medicare Pediatrics in Moreno Valley, CA

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Dr Gordon Tan, MD is a medicare enrolled "Pediatrics" physician in Moreno Valley, California. His current practice location is 12815 Heacock St, Moreno Valley, California. You can reach out to his office (for appointments etc.) via phone at (951) 601-6399.

Dr Gordon Tan is licensed to practice in California (license number A122192) 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 1659662583.

Contact Information

Dr Gordon Tan, MD
12815 Heacock St,
Moreno Valley, CA 92553-2836
(951) 601-6399
Not Available

Map and Direction




Physician's Profile

Full NameDr Gordon Tan
GenderMale
SpecialityPediatrics
Location12815 Heacock St, Moreno Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659662583
  • Provider Enumeration Date: 04/26/2011
  • Last Update Date: 11/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951527118
  • Enrollment ID: I20140723002268

Medical Identifiers

Medical identifiers for Dr Gordon Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659662583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A122192 (California)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 Gordon Tan allows following entities to bill medicare on his behalf.
Entity NameCounty Of San Bernardino
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164467023
PECOS PAC ID: 3870499130
Enrollment ID: O20031209000420
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

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 Gordon 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 Gordon Tan, MD
12815 Heacock St,
Moreno Valley, CA 92553-2836

Ph: () -		Dr Gordon Tan, MD
12815 Heacock St,
Moreno Valley, CA 92553-2836

Ph: (951) 601-6399

Reviews and Comments


Pediatrics Doctors in Moreno Valley, CA

Dr. My Nguyen, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    
Jesse Oliver Tweed, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 14114 Business Center Dr Ste A, Moreno Valley, CA 92553
Phone: 951-697-4133    Fax: 951-697-4130
Dr. Jeffrey Taylor Olson, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 11441 Heacock St, Suite C, Moreno Valley, CA 92557
Phone: 951-247-5809    
Albert Khait, M.D,.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-5203    
Dr. Rowena Kai Ling Mak-huang, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 11441 Heacock St Ste C, Moreno Valley, CA 92557
Phone: 951-247-5809    
Francesca Paterno,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    
Dr. David K Dong, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12980 Frederick St Ste I, Moreno Valley, CA 92553
Phone: 951-684-8020    Fax: 951-684-8090

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).

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