Katherine K Tan, MD in Antioch, CA

Katherine K Tan, MD is a medicare enrolled "Pediatrics" physician in Antioch, California. Her current practice location is 3400 Delta Fair Blvd, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 779-5000.

Katherine K Tan is licensed to practice in California (license number A51983) 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 1477631554.

Contact Information

	Katherine K Tan, MD
	3400 Delta Fair Blvd, Antioch, CA 94509-4004
	(925) 779-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Katherine K Tan
Gender	Female
Speciality	Pediatrics
Location	3400 Delta Fair Blvd, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477631554
Provider Enumeration Date: 11/02/2006
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1951205897
Enrollment ID: I20031121000891

Medical Identifiers

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

Identifier	Type	State	Issuer
1477631554	NPI	-	NPPES
00A519830	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A51983 (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. Katherine K Tan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Katherine K 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
Katherine K Tan, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Katherine K Tan, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5000

Reviews and Comments

Pediatrics Doctors in Antioch, CA

Rosetta C. Newhall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Dr. Melissa Rose, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Sunset Ln, Suite 6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200
Mr. Harry H. Huang, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Sunset Ln, #6, Antioch, CA 94509 Phone: 925-755-8500 Fax: 925-755-8200
Bernabe Floro Urbano Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Abbas Mahdavi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3700 Lone Tree Way # 3, Antioch, CA 94509 Phone: 925-754-7200
Deborah Fernandes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-6375
Carl R. Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000

Katherine K Tan, MD - Medicare Pediatrics in Antioch, CA