Dr Lan Q Ta, MD in Melbourne, FL - Medicare Hospitalist

Dr Lan Q Ta, MD is a medicare enrolled "Internal Medicine" physician in Melbourne, Florida. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Ridgewood Physician Services, Llc, Lake Wales Physician Services, Llc and his current practice location is 1350 Hickory St, Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 434-1771.

Dr Lan Q Ta is licensed to practice in Florida (license number ME132166) 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 1760619563.

Contact Information

	Dr Lan Q Ta, MD
	1350 Hickory St, Melbourne, FL 32901-3224
	(321) 434-1771
	(321) 434-1775

Map and Direction

Physician's Profile

Full Name	Dr Lan Q Ta
Gender	Male
Speciality	Hospitalist
Experience	16 Years
Location	1350 Hickory St, Melbourne, Florida
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 Lan Q Ta graduated from medical school in 2008

NPI Data:

NPI Number: 1760619563
Provider Enumeration Date: 06/18/2009
Last Update Date: 07/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9234382565
Enrollment ID: I20181024003290

Medical Identifiers

Medical identifiers for Dr Lan Q Ta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760619563	NPI	-	NPPES
100981500	Medicaid	FL
JM828	Other	FL	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD205729 (Louisiana)	Secondary
207R00000X	Internal Medicine	24008 (Mississippi)	Secondary
208M00000X	Hospitalist	205729 (Louisiana)	Secondary
208M00000X	Hospitalist	ME132166 (Florida)	Secondary
207R00000X	Internal Medicine	ME132166 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Lake Wales	Lake wales, FL	Hospital
Adventhealth Heart Of Florida	Davenport, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ridgewood Physician Services, Llc	0446594105	36
Lake Wales Physician Services, Llc	8426390964	27

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 Lan Q Ta allows following entities to bill medicare on his behalf.

Entity Name	Ridgewood Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295216034 PECOS PAC ID: 0446594105 Enrollment ID: O20181206001200

Entity Name	Lake Wales Physician Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025

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 Lan Q Ta 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 Lan Q Ta, MD 36800 Winfield Ct, Grand Island, FL 32735-9131 Ph: (321) 695-4395	Dr Lan Q Ta, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-1771

Reviews and Comments

Internal Medicine Doctors in Melbourne, FL

Dr. Nathan D Allison, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231
Dr. Olga Dorjima Emgushov, MD,MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775
Dr. Audrius J Bredikis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 Fax: 321-956-2542
Craig J Badolato, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Pine St, Melbourne, FL 32901 Phone: 321-674-5050 Fax: 321-952-6296
Dr. Timothy Orphanides, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2b, Melbourne, FL 32901 Phone: 321-549-0736 Fax: 321-952-2330
Dr. Caleb Bert Long, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N Wickham Rd, Melbourne, FL 32935 Phone: 321-338-1618 Fax: 321-433-2311
Martin E Avalos, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231

Dr Lan Q Ta, MD - Medicare Hospitalist in Melbourne, FL