Dr Madeline P Tan, MD is a
Pediatrics physician based in Ventnor City, New Jersey. Dr Madeline P Tan is licensed to practice in New Jersey (license number 25MA06846600) and her current practice location is 6601 Ventnor Ave, Suite #14, Ventnor City, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(609) 487-6507.
NPI number for Dr Madeline P Tan is 1720068414 and her current mailing address is 6601 Ventnor Ave, Suite #14, Ventnor City, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720068414.
Physician's Profile
| Full Name | Dr Madeline P Tan |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6601 Ventnor Ave, Ventnor City, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720068414
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 10/05/2012
Medical Identifiers
Medical identifiers for Dr Madeline P Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720068414 | NPI | - | NPPES |
| 0161144 | Medicaid | NJ | |
| 64016579 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35647 (Kentucky) | Secondary |
| 208000000X | Pediatrics | 25MA06846600 (New Jersey) | 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 Madeline P Tan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Madeline P Tan, MD
6601 Ventnor Ave, Suite #14,
Ventnor City, NJ 08406
Ph: (609) 487-6507 | Dr Madeline P Tan, MD
6601 Ventnor Ave, Suite #14,
Ventnor City, NJ 08406
Ph: (609) 487-6507 |
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