Dr Shoichiro Alberto Tanaka, MD is a medicare enrolled "Plastic Surgery" physician in Alton, Illinois. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Washington University Physicians In Illinois, Inc, Washington University and his current practice location is
2 Memorial Dr, Div Surg Plastics, Ste 101, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 433-6131.
Dr Shoichiro Alberto Tanaka is licensed to practice in Illinois (license number 036155527) 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 1639436199.
Physician's Profile
| Full Name | Dr Shoichiro Alberto Tanaka |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 12 Years |
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| Location | 2 Memorial Dr, Alton, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shoichiro Alberto Tanaka attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2012
NPI Data:
- NPI Number: 1639436199
- Provider Enumeration Date: 04/20/2012
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618191347
- Enrollment ID: I20210805001272
Medical Identifiers
Medical identifiers for Dr Shoichiro Alberto Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639436199 | NPI | - | NPPES |
| 2000952542 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 036155527 (Illinois) | Secondary |
| 208200000X | Plastic Surgery | 036155527 (Illinois) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 036155527 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Washington University Physicians In Illinois, Inc | 4789945163 | 99 |
| Washington University | 9830008770 | 2516 |
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 Shoichiro Alberto Tanaka allows following entities to bill medicare on his behalf.
| Entity Name | Washington University Physicians In Illinois, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477076263
PECOS PAC ID: 4789945163
Enrollment ID: O20180227002018 |
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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 Shoichiro Alberto Tanaka 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 |
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Dr Shoichiro Alberto Tanaka, MD
660 S Euclid Ave, Msc 8238-43-1150,
Saint Louis, MO 63110-1010
Ph: (314) 362-7388 | Dr Shoichiro Alberto Tanaka, MD
2 Memorial Dr, Div Surg Plastics, Ste 101,
Alton, IL 62002-6723
Ph: (618) 433-6131 |
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