Dr Gustavo F Tataje Rengifo, MD in Lansing, MI

Dr Gustavo F Tataje Rengifo, MD is a medicare enrolled "Internal Medicine" physician in Lansing, Michigan. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Edward W Sparrow Hospital Association and his current practice location is 3955 Patient Care Dr Ste A, Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 374-7600.

Dr Gustavo F Tataje Rengifo is licensed to practice in Michigan (license number 4301504688) 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 1033601489.

Contact Information

	Dr Gustavo F Tataje Rengifo, MD
	3955 Patient Care Dr Ste A, Lansing, MI 48911
	(517) 374-7600
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gustavo F Tataje Rengifo
Gender	Male
Speciality	Internal Medicine
Experience	10 Years
Location	3955 Patient Care Dr Ste A, Lansing, Michigan
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 Gustavo F Tataje Rengifo graduated from medical school in 2014

NPI Data:

NPI Number: 1033601489
Provider Enumeration Date: 06/01/2018
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 8921401001
Enrollment ID: I20210727002539

Medical Identifiers

Medical identifiers for Dr Gustavo F Tataje Rengifo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033601489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	4351043487 (Michigan)	Secondary
207R00000X	Internal Medicine	4301504688 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Edward W Sparrow Hospital	Lansing, MI	Hospital
Memorial Healthcare	Owosso, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Edward W Sparrow Hospital Association	6709799166	525

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 Gustavo F Tataje Rengifo allows following entities to bill medicare on his behalf.

Entity Name	Capital Internal Medicine Associates P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780629832 PECOS PAC ID: 8022097963 Enrollment ID: O20040715000369

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437331501 PECOS PAC ID: 6709799166 Enrollment ID: O20080219000111

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043562465 PECOS PAC ID: 6709799166 Enrollment ID: O20130503000582

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487154290 PECOS PAC ID: 6709799166 Enrollment ID: O20180405001766

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 Gustavo F Tataje Rengifo 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 Gustavo F Tataje Rengifo, MD 3955 Patient Care Dr Ste A, Lansing, MI 48911-4271 Ph: (517) 374-7600	Dr Gustavo F Tataje Rengifo, MD 3955 Patient Care Dr Ste A, Lansing, MI 48911 Ph: (517) 374-7600

Reviews and Comments

Internal Medicine Doctors in Lansing, MI

Dr. Harry James Mccoy, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Ste 201, Lansing, MI 48912 Phone: 517-913-3900 Fax: 517-913-3901
Ali H. Sheikh, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 517-364-9650 Fax: 517-364-9605
Georgette Nader, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-253-8366
Salma Mohamed, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000
Dr. Cynthia S. Boynton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Ste 201, Lansing, MI 48912 Phone: 517-913-3900 Fax: 517-913-3901
Fadi Mohammadsaeed S Alreefi, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 E Michigan Ave Ste 400, Lansing, MI 48912 Phone: 419-921-2531 Fax: 517-364-9605
Adam Basha, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000

Dr Gustavo F Tataje Rengifo, MD - Medicare Internal Medicine in Lansing, MI