Dr Jeremias C Tan, MD | |
3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033 | |
(703) 698-8960 | |
(647) 646-4744 |
Full Name | Dr Jeremias C Tan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 3700 Joseph Siewick Dr Ste 308, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699723213 | NPI | - | NPPES |
302447 | Other | ANTHEM BCBS | |
302474 | Other | ANTHEM BCBS | |
346674 | Other | ANTHEM BCBS | |
206263 | Other | ANTHEM BCBS | |
206265 | Other | ANTHEM BCBS | |
0101239223 | Other | VA | STATE LICENSE |
341909 | Other | ANTHEM BCBS | |
79160018 | Other | CAREFIRST BCBS | |
1699723213 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 0101239223 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Inova Fair Oaks Hospital | Fairfax, VA | Hospital |
Inova Fairfax Hospital | Falls church, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Associates Of Northern Virginia, Llc | 1759371008 | 79 |
Entity Name | Gastroenterology Associates Of Northern Virginia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205884368 PECOS PAC ID: 1759371008 Enrollment ID: O20040517001478 |
Entity Name | Advanced Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629462171 PECOS PAC ID: 3375857725 Enrollment ID: O20170124002297 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremias C Tan, MD 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 Ph: (703) 698-8960 | Dr Jeremias C Tan, MD 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033 Ph: (703) 698-8960 |
Shivangi Vachhani, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006 | |
Dr. Raymund S Cuevo, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241 | |
Dr. Michael Maitland, M.D., PH.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601 | |
Aswani Kumar Suthrave, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600 | |
Nader H Balba, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794 | |
Rona Harthill Earle, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153 | |
Renee Elizabeth Funches, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700 |