Jeffrey P Tannenbaum, MD is a
Family Medicine physician based in Hanson, Massachusetts. Jeffrey P Tannenbaum is licensed to practice in Massachusetts (license number 77474) and his current practice location is 430 Liberty St, Suite 7, Hanson, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(781) 293-3838.
NPI number for Jeffrey P Tannenbaum is 1699761155 and his current mailing address is 680 Centre St, Brockton, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699761155.
Physician's Profile
Full Name | Jeffrey P Tannenbaum |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 430 Liberty St, Hanson, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699761155
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 09/18/2018
Medical Identifiers
Medical identifiers for Jeffrey P Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699761155 | NPI | - | NPPES |
3119572 | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 77474 (Massachusetts) | 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. Jeffrey P Tannenbaum 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 Address | Practice Location Address |
Jeffrey P Tannenbaum, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 | Jeffrey P Tannenbaum, MD 430 Liberty St, Suite 7, Hanson, MA 02341-1113 Ph: (781) 293-3838 |
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