Dr Gordon Tan, MD in Loma Linda, CA

Dr Gordon Tan, MD is a medicare enrolled "Pediatrics" physician in Loma Linda, California. His current practice location is 11175 Campus St, Coleman Pavilion A1111, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-4174.

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
	11175 Campus St, Coleman Pavilion A1111, Loma Linda, CA 92350-1700
	(909) 558-4174
	(909) 558-4184

Map and Direction

Physician's Profile

Full Name	Dr Gordon Tan
Gender	Male
Speciality	Pediatrics
Location	11175 Campus St, Loma Linda, California
Accepts Medicare Assignments	Medicare 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: 10/28/2024

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.

Identifier	Type	State	Issuer
1659662583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	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 Name	County Of San Bernardino
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Sac Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Dr Gordon Tan, MD 11175 Campus St, Coleman Pavilion A1111, Loma Linda, CA 92350-1700 Ph: (909) 558-4174	Dr Gordon Tan, MD 11175 Campus St, Coleman Pavilion A1111, Loma Linda, CA 92350-1700 Ph: (909) 558-4174

Reviews and Comments

Pediatrics Doctors in Loma Linda, CA

Rita Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-8242 Fax: 909-558-0479
Rachel Elizabeth Gelfond Davidge, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Loma Linda University Health, General Pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174
Medha Shukla, Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-3904
Barbara K Ariue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11370 Anderson St, Ste B-100, Loma Linda, CA 92354 Phone: 909-558-2848
Dr. Adrian P Lavery, M.D, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 11175 Campus Street, Coleman Pavilion Suite 11121 Department Of Neonatology, Loma Linda, CA 92354 Phone: 909-651-5746 Fax: 909-558-0298
Eugenia Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Medical Center-pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174
Aliyah A Khan-serrano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000

Dr Gordon Tan, MD - Medicare Pediatrics in Loma Linda, CA