Jacky Tan, in Forest Hills, NY - Medicare Emergency Medicine

Jacky Tan, is a medicare enrolled "Emergency Medicine" physician in Forest Hills, New York. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is 10201 66th Rd, Forest Hills, New York. You can reach out to his office (for appointments etc.) via phone at (212) 420-2000.

Jacky Tan is licensed to practice in New York (license number 293166-01) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992190771.

Contact Information

	Jacky Tan,
	10201 66th Rd, Forest Hills, NY 11375-2029
	(212) 420-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacky Tan
Gender	Male
Speciality	Emergency Medicine
Experience	9 Years
Location	10201 66th Rd, Forest Hills, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacky Tan graduated from medical school in 2015

NPI Data:

NPI Number: 1992190771
Provider Enumeration Date: 03/30/2015
Last Update Date: 04/28/2022

Medicare PECOS Information:

PECOS PAC ID: 2264797646
Enrollment ID: I20180606001452

Medical Identifiers

Medical identifiers for Jacky Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992190771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	293166-01 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Long Island Jewish Medical Center	New hyde park, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore - Lij Medical Pc	3375701568	5120

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. Jacky Tan allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Jacky 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
Jacky Tan, 10 Nathan D Perlman Pl, New York, NY 10003-3851 Ph: (212) 420-2000	Jacky Tan, 10201 66th Rd, Forest Hills, NY 11375-2029 Ph: (212) 420-2000

Reviews and Comments

Emergency Medicine Doctors in Forest Hills, NY

Farhad Mohammad Gazi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10201 66th Rd, Medical Staff Office, Forest Hills, NY 11375 Phone: 718-830-4200
Lorraine Giordano, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 800-376-5566
Rachel Emily Bruce, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10201 66th Rd, Department Of Emergency Medicine, Forest Hills, NY 11375 Phone: 718-830-4204
Jeffrey Horwitz, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 800-376-5566
Adam L Church, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 800-376-5566
Dr. Sandeep Patel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 718-830-4200
Benjamin Greenblatt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10201 66th Rd, Forest Hills, NY 11375 Phone: 800-376-5566

Jacky Tan, - Medicare Emergency Medicine in Forest Hills, NY