Dr Letty Gupit Tan-fermo, MD in Glendale, AZ - Medicare Psychiatry & Neurology

Dr Letty Gupit Tan-fermo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Glendale, Arizona. Her current practice location is 5701 W Talavi Blvd, Suite 180, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 486-8082.

Dr Letty Gupit Tan-fermo is licensed to practice in Arizona (license number 28320) 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 1710097225.

Contact Information

	Dr Letty Gupit Tan-fermo, MD
	5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886
	(623) 486-8082
	(623) 486-2739

Map and Direction

Physician's Profile

Full Name	Dr Letty Gupit Tan-fermo
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	5701 W Talavi Blvd, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710097225
Provider Enumeration Date: 08/30/2006
Last Update Date: 02/16/2012

Medicare PECOS Information:

PECOS PAC ID: 6800811787
Enrollment ID: I20051010000853

Medical Identifiers

Medical identifiers for Dr Letty Gupit Tan-fermo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710097225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	28320 (Arizona)	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 Letty Gupit Tan-fermo allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family & Childrens Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009

Entity Name	Uhs Of Phoenix Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740604636 PECOS PAC ID: 2264656701 Enrollment ID: O20150430002335

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 Letty Gupit Tan-fermo 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 Letty Gupit Tan-fermo, MD 4747 N 7th St, Suite 100, Phoenix, AZ 85014-3653 Ph: (602) 279-7655	Dr Letty Gupit Tan-fermo, MD 5701 W Talavi Blvd, Suite 180, Glendale, AZ 85306-1886 Ph: (623) 486-8082

Reviews and Comments

Psychiatry & Neurology Doctors in Glendale, AZ

Thomas John Knutson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11851 N 51st Ave, Glendale, AZ 85304 Phone: 480-882-4545 Fax: 480-882-5814
Dr. Leticia G Jacinto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17100 N 67th Ave, Ste 401, Glendale, AZ 85308 Phone: 602-795-8698 Fax: 602-795-8699
James Earnest Campbell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4747 W Country Gables Dr., Glendale, AZ 85306 Phone: 602-439-2400 Fax: 602-439-1414
Dr. Carl R Sonder, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18301 N 79th Ave, Ste C126, Glendale, AZ 85308 Phone: 623-486-3346 Fax: 623-486-3747
Frederick Chapman Green Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8802 N 61st Ave, Glendale, AZ 85302 Phone: 623-934-1991 Fax: 480-733-3031
Dr. Houshang Semino, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 17215 N 72nd Dr, D-140a, Glendale, AZ 85308 Phone: 623-487-9630 Fax: 623-487-9631
Dr. Valerie Leah Sharf, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18701 N 67th Ave, Glendale, AZ 85308 Phone: 623-561-1000

Dr Letty Gupit Tan-fermo, MD - Medicare Psychiatry & Neurology in Glendale, AZ