Jovanie Serge Keusseu Tankeu, MD, MS, MPH, MBA, CH is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Miami, Florida. His current practice location is
790 Nw 107th Ave Ste 107, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 927-8533.
Jovanie Serge Keusseu Tankeu is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326661083.
Physician's Profile
Full Name | Jovanie Serge Keusseu Tankeu |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 790 Nw 107th Ave Ste 107, Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326661083
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 07/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345612750
- Enrollment ID: I20230213002036
Medical Identifiers
Medical identifiers for Jovanie Serge Keusseu Tankeu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326661083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ME158173 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jovanie Serge Keusseu Tankeu allows following entities to bill medicare on his behalf.
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247 |
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Entity Name | Tanhealth Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922700525 PECOS PAC ID: 0749643187 Enrollment ID: O20230831003733 |
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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. Jovanie Serge Keusseu Tankeu 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 |
Jovanie Serge Keusseu Tankeu, MD, MS, MPH, MBA, CH 7031 Sw 62nd Ave, South Miami, FL 33143-4701 Ph: (305) 284-7761 | Jovanie Serge Keusseu Tankeu, MD, MS, MPH, MBA, CH 790 Nw 107th Ave Ste 107, Miami, FL 33172-3100 Ph: (305) 927-8533 |
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