Jessela D Tan, MD in Longview, WA - Medicare Internal Medicine

Jessela D Tan, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Longview, Washington. Her current practice location is 1615 Delaware St, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 414-7800.

Jessela D Tan is licensed to practice in Washington (license number MD60799260) 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 1619057189.

Contact Information

	Jessela D Tan, MD
	1615 Delaware St, Longview, WA 98632-2367
	(360) 414-7800
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessela D Tan
Gender	Female
Speciality	Internal Medicine - Sleep Medicine
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619057189
Provider Enumeration Date: 10/17/2006
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7618026147
Enrollment ID: I20171220000981

Medical Identifiers

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

Identifier	Type	State	Issuer
1619057189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS1201X	Family Medicine - Sleep Medicine	MD185349 (Oregon)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	MD60799260 (Washington)	Primary
207QS1201X	Family Medicine - Sleep Medicine	MD60799260 (Washington)	Secondary

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. Jessela D Tan allows following entities to bill medicare on her behalf.

Entity Name	Central Washington Health Services Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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. Jessela D 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
Jessela D Tan, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711	Jessela D Tan, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-7800

Reviews and Comments

Internal Medicine Doctors in Longview, WA

Yoon Hee Amy Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739
Lyudmila E Kruzhkov, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768

Jessela D Tan, MD - Medicare Internal Medicine in Longview, WA