Irmgard Una Tackie, MD in Fontana, CA

Irmgard Una Tackie, MD is a medicare enrolled "Pediatrics" physician in Fontana, California. Her current practice location is 15290 Summit Ave, Suite B, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 225-1900.

Irmgard Una Tackie is licensed to practice in California (license number A118539) 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 1215168653.

Contact Information

	Irmgard Una Tackie, MD
	15290 Summit Ave, Suite B, Fontana, CA 92336-0240
	(909) 225-1900
	Not Available

Map and Direction

Physician's Profile

Full Name	Irmgard Una Tackie
Gender	Female
Speciality	Pediatrics
Location	15290 Summit Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215168653
Provider Enumeration Date: 08/03/2009
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 1850524851
Enrollment ID: I20140428001531

Medical Identifiers

Medical identifiers for Irmgard Una Tackie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215168653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A118539 (California)	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. Irmgard Una Tackie allows following entities to bill medicare on her behalf.

Entity Name	San Marcos Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447446448 PECOS PAC ID: 0749222495 Enrollment ID: O20050524000402

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. Irmgard Una Tackie 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
Irmgard Una Tackie, MD 16096 Pitzer St, Fontana, CA 92336-4530 Ph: (865) 591-1988	Irmgard Una Tackie, MD 15290 Summit Ave, Suite B, Fontana, CA 92336-0240 Ph: (909) 225-1900

Reviews and Comments

Pediatrics Doctors in Fontana, CA

Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451
Mrs. Emma Claire Boda, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Irmgard Una Tackie, MD - Medicare Pediatrics in Fontana, CA