Ima Sumac Duchicela Tanner, MD in Richardson, TX

Ima Sumac Duchicela Tanner, MD is a medicare enrolled "Family Medicine" physician in Richardson, Texas. Her current practice location is 3030 Waterview Pkwy, Richardson, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 669-7070.

Ima Sumac Duchicela Tanner is licensed to practice in Texas (license number R2023) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952744021.

Contact Information

	Ima Sumac Duchicela Tanner, MD
	3030 Waterview Pkwy, Richardson, TX 75080
	(972) 669-7070
	Not Available

Map and Direction

Physician's Profile

Full Name	Ima Sumac Duchicela Tanner
Gender	Female
Speciality	Family Medicine
Location	3030 Waterview Pkwy, Richardson, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952744021
Provider Enumeration Date: 04/09/2013
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 0941427447
Enrollment ID: I20171030001594

Medical Identifiers

Medical identifiers for Ima Sumac Duchicela Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952744021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R2023 (Texas)	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. Ima Sumac Duchicela Tanner allows following entities to bill medicare on her behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

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. Ima Sumac Duchicela Tanner 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
Ima Sumac Duchicela Tanner, MD 3030 Waterview Pkwy, Richardson, TX 75080-1400 Ph: (972) 669-7070	Ima Sumac Duchicela Tanner, MD 3030 Waterview Pkwy, Richardson, TX 75080 Ph: (972) 669-7070

Reviews and Comments

Family Medicine Doctors in Richardson, TX

Lawrie Hilton Friedman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 N Coit Rd Ste 2355, Richardson, TX 75080 Phone: 972-644-3422 Fax: 972-644-5543
Dr. Ahmad Ghassan Abazid, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 S Greenville Ave Ste 304, Richardson, TX 75081 Phone: 469-684-5450
Marium Palur Afzal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3030 Waterview Pkwy, Richardson, TX 75080 Phone: 972-669-7070
Dr. Antoine Robert Albert, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Coit Rd, Ste 317, Richardson, TX 75080 Phone: 972-437-9090 Fax: 972-234-6474
Dr. Linda Shelton Halbrook, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2520 N Central Expy, Suite 100, Richardson, TX 75080 Phone: 972-234-3311 Fax: 972-669-8072
Charles Murray Kasbarian, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 670 W. Arapaho Rd, Suite 6, Richardson, TX 75080 Phone: 972-235-6311 Fax: 972-235-5951
John K Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 970 N Coit Rd Ste 3040, Richardson, TX 75080 Phone: 972-238-8092 Fax: 972-238-8093

Ima Sumac Duchicela Tanner, MD - Medicare Family Medicine in Richardson, TX