Dr Grace Tandoc Martin, MD in Santa Rosa, CA

Dr Grace Tandoc Martin, MD is a medicare enrolled "Pediatrics" physician in Santa Rosa, California. Her current practice location is 1165 Montgomery Dr, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 303-8321.

Dr Grace Tandoc Martin is licensed to practice in California (license number A83664) 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 1356454086.

Contact Information

	Dr Grace Tandoc Martin, MD
	1165 Montgomery Dr, Santa Rosa, CA 95405-4801
	(707) 303-8321
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Grace Tandoc Martin
Gender	Female
Speciality	Pediatrics
Location	1165 Montgomery Dr, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356454086
Provider Enumeration Date: 08/16/2006
Last Update Date: 09/27/2022

Medicare PECOS Information:

PECOS PAC ID: 1355599606
Enrollment ID: I20120912000377

Medical Identifiers

Medical identifiers for Dr Grace Tandoc Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356454086	NPI	-	NPPES
GR0061380	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A83664 (California)	Secondary
208000000X	Pediatrics	A83664 (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 Grace Tandoc Martin allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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 Grace Tandoc Martin 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 Grace Tandoc Martin, MD 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405-4558 Ph: (707) 544-6090	Dr Grace Tandoc Martin, MD 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: (707) 303-8321

Reviews and Comments

Pediatrics Doctors in Santa Rosa, CA

Krisztina J. Balazs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Daniel J Greenfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr Ste 100, Santa Rosa, CA 95405 Phone: 707-544-6090 Fax: 707-544-2389
Mark P. Sloan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Dr. Jeff Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3925 Old Redwood Hwy, Santa Rosa, CA 95403 Phone: 707-566-5312
Dr. Allison Cali Paine, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Doyle Park Dr, Suite 100, Santa Rosa, CA 95405 Phone: 650-248-9309
Dr. Deborah Madansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 858 Third Street, Santa Rosa, CA 95404 Phone: 707-576-1813 Fax: 707-874-3332
Leland Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sonoma Ave, Suite 6, Santa Rosa, CA 95405 Phone: 707-545-2545

Dr Grace Tandoc Martin, MD - Medicare Pediatrics in Santa Rosa, CA