Edmundo Noel Tan, MD - Pediatrics in Bedford, IN

Edmundo Noel Tan, MD is a Pediatrics physician based in Bedford, Indiana. Edmundo Noel Tan is licensed to practice in Indiana (license number 01031283A) and his current practice location is 2900 16th St, Bedford, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 279-3567.

NPI number for Edmundo Noel Tan is 1376559930 and his current mailing address is 2900 16th St, Bedford, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376559930.

Contact Information

Edmundo Noel Tan, MD
2900 16th St,
Bedford, IN 47421-3510
(812) 279-3567
(812) 275-1344

Map and Direction




Physician's Profile

Full NameEdmundo Noel Tan
GenderMale
SpecialityPediatrics
Location2900 16th St, Bedford, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376559930
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Edmundo Noel Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376559930NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01031283A (Indiana)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. Edmundo Noel 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 AddressPractice Location Address
Edmundo Noel Tan, MD
2900 16th St,
Bedford, IN 47421-3510

Ph: (812) 279-3567
Edmundo Noel Tan, MD
2900 16th St,
Bedford, IN 47421-3510

Ph: (812) 279-3567

Reviews and Comments


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