Dr Guillermo Javier Tanaka, M D in Jackson, MS - Medicare Interventional Radiology

Dr Guillermo Javier Tanaka, M D is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, Mississippi. He went to Tulane University School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Lakeland Radiologists Pa and his current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (877) 406-2916.

Dr Guillermo Javier Tanaka is licensed to practice in Mississippi (license number 16799) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124033055.

Contact Information

	Dr Guillermo Javier Tanaka, M D
	969 Lakeland Dr, Jackson, MS 39216-4606
	(877) 406-2916
	(601) 682-7909

Map and Direction

Physician's Profile

Full Name	Dr Guillermo Javier Tanaka
Gender	Male
Speciality	Interventional Radiology
Experience	29 Years
Location	969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Guillermo Javier Tanaka attended and graduated from Tulane University School Of Medicine in 1995

NPI Data:

NPI Number: 1124033055
Provider Enumeration Date: 07/29/2006
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0749280782
Enrollment ID: I20061222000169

Medical Identifiers

Medical identifiers for Dr Guillermo Javier Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124033055	NPI	-	NPPES
1861428351	Other		GROUP MEDICARE NPI
C00475	Other		GROUP MEDICARE UPIN
00122175	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	16799 (Mississippi)	Primary
2085R0202X	Radiology - Diagnostic Radiology	022779 (Louisiana)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Tammany Parish Hospital	Covington, LA	Hospital
Touro Infirmary	New orleans, LA	Hospital
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital
Merit Health River Region	Vicksburg, MS	Hospital
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Radiologists Pa	4183683089	30

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 Guillermo Javier Tanaka allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Radiologists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861428351 PECOS PAC ID: 4183683089 Enrollment ID: O20041006001125

Entity Name	Kings Daughters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174

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 Guillermo Javier Tanaka 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 Guillermo Javier Tanaka, M D Po Box 55769, Jackson, MS 39296-5769 Ph: (601) 200-6162	Dr Guillermo Javier Tanaka, M D 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (877) 406-2916

Reviews and Comments

Radiology Doctors in Jackson, MS

Dr. Christophor D Reed, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-5615
Dr. Patrick James Robbins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5600 Fax: 601-984-5608
Dr. Richard B Friedman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-1416 Fax: 601-968-1218
Teddi Leigh Berry, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Radiology, Jackson, MS 39216 Phone: 601-984-2695 Fax: 601-984-2683
Katherine Leigh Ragland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept. Of Radiology, Jackson, MS 39216 Phone: 601-984-2538
Wayne Fai Chan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1588
Dr. Mary Oneal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471

Dr Guillermo Javier Tanaka, M D - Medicare Interventional Radiology in Jackson, MS