Evelyn Tan Omana-roldan, MD in Phoenix, AZ

Evelyn Tan Omana-roldan, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 4700 N 51st Ave, Suite 1, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 845-8200.

Evelyn Tan Omana-roldan is licensed to practice in Arizona (license number 40476) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427253335.

Contact Information

	Evelyn Tan Omana-roldan, MD
	4700 N 51st Ave, Suite 1, Phoenix, AZ 85031-1237
	(623) 845-8200
	(623) 845-8210

Map and Direction

Physician's Profile

Full Name	Evelyn Tan Omana-roldan
Gender	Female
Speciality	Family Practice
Experience	25 Years
Location	4700 N 51st Ave, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Evelyn Tan Omana-roldan graduated from medical school in 1999

NPI Data:

NPI Number: 1427253335
Provider Enumeration Date: 06/19/2007
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2567539067
Enrollment ID: I20101006000180

Medical Identifiers

Medical identifiers for Evelyn Tan Omana-roldan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427253335	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	40476 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital And Rehab Center	Vallejo, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Evelyn Tan Omana-roldan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Evelyn Tan Omana-roldan 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
Evelyn Tan Omana-roldan, MD 7331 Shelby Pl, Unit 134, Rancho Cucamonga, CA 91739-5903 Ph: (484) 744-4375	Evelyn Tan Omana-roldan, MD 4700 N 51st Ave, Suite 1, Phoenix, AZ 85031-1237 Ph: (623) 845-8200

Reviews and Comments

Family Medicine Doctors in Phoenix, AZ

Dr. Serena Dawn Woods-grimm, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Central Ave, Phoenix, AZ 85004 Phone: 602-221-6326
Michael Devin Taylor, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-4122
Dr. Umar Iqbal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013 Phone: 602-406-3153 Fax: 602-406-7176
Jessica Ann Wright, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Meggan E Bauer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018 Phone: 602-224-9218
Dr. James W. Fisher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032 Phone: 602-996-0924 Fax: 602-482-2624
Geoffrey Peter Radoff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023 Phone: 602-993-0200 Fax: 602-993-0207

Evelyn Tan Omana-roldan, MD - Medicare Family Practice in Phoenix, AZ