Kelan G Tantisira, MD MPH in San Diego, CA - Medicare Internal Medicine

Kelan G Tantisira, MD MPH is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in San Diego, California. His current practice location is 3030 Childrens Way, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 966-5846.

Kelan G Tantisira is licensed to practice in California (license number G67143) 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 1760420434.

Contact Information

	Kelan G Tantisira, MD MPH
	3030 Childrens Way, San Diego, CA 92123-4232
	(858) 966-5846
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelan G Tantisira
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	3030 Childrens Way, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760420434
Provider Enumeration Date: 06/03/2006
Last Update Date: 01/07/2021

Medicare PECOS Information:

PECOS PAC ID: 1557433471
Enrollment ID: I20080709000252

Medical Identifiers

Medical identifiers for Kelan G Tantisira such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760420434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	155411 (Massachusetts)	Secondary
208000000X	Pediatrics	G67143 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	G67143 (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. Kelan G Tantisira allows following entities to bill medicare on his behalf.

Entity Name	Brigham & Womens Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260

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. Kelan G Tantisira 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
Kelan G Tantisira, MD MPH 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300	Kelan G Tantisira, MD MPH 3030 Childrens Way, San Diego, CA 92123-4232 Ph: (858) 966-5846

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069
Dr. Shweta Warner, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091
Dr. Daniel Joseph Desantis, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935
Jedidiah Daniel Bell, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675
Dr. Patricia Vold Pepper, MD, MSC, FACP Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7504 Fax: 619-532-7508

Kelan G Tantisira, MD MPH - Medicare Internal Medicine in San Diego, CA