Dr Teimojin Nicholas Tan, DO is a medicare enrolled "Emergency Medicine" physician in Pittsfield, Maine. His current practice location is
447 N Main St, Pittsfield, Maine. You can reach out to his office (for appointments etc.) via phone at
(514) 465-8977.
Dr Teimojin Nicholas Tan is licensed to practice in Maine (license number DO3564) 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 1952892382.
Physician's Profile
Full Name | Dr Teimojin Nicholas Tan |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 447 N Main St, Pittsfield, Maine |
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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: 1952892382
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365707031
- Enrollment ID: I20230627002791
Medical Identifiers
Medical identifiers for Dr Teimojin Nicholas Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952892382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101023757 (Michigan) | Secondary |
207P00000X | Emergency Medicine | DO3564 (Maine) | 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 Teimojin Nicholas Tan allows following entities to bill medicare on his behalf.
Entity Name | Emergency Medicine Services Of Maine Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
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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 Teimojin Nicholas Tan 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 Teimojin Nicholas Tan, DO 447 N Main St, Pittsfield, ME 04967-3707 Ph: (514) 465-8977 | Dr Teimojin Nicholas Tan, DO 447 N Main St, Pittsfield, ME 04967-3707 Ph: (514) 465-8977 |
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