Dr Lupo Tanjuakio Carlota Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lakeland, Tennessee. His current practice location is
9749 Green Spruce Dr, Lakeland, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 821-8595.
Dr Lupo Tanjuakio Carlota Jr is licensed to practice in Tennessee (license number MD0000012972) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235176041.
Physician's Profile
Full Name | Dr Lupo Tanjuakio Carlota Jr |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 9749 Green Spruce Dr, Lakeland, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235176041
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 08/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729483169
- Enrollment ID: I20210823001883
Medical Identifiers
Medical identifiers for Dr Lupo Tanjuakio Carlota Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235176041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD0000012972 (Tennessee) | Primary |
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 Lupo Tanjuakio Carlota Jr 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 Lupo Tanjuakio Carlota Jr, MD 9749 Green Spruce Dr, Lakeland, TN 38002-9341 Ph: (901) 828-4795 | Dr Lupo Tanjuakio Carlota Jr, MD 9749 Green Spruce Dr, Lakeland, TN 38002-9341 Ph: (901) 821-8595 |
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