Kenneth Tan Tan, MD in San Diego, CA - Medicare Diagnostic Radiology

Kenneth Tan Tan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kc Tan, M.d. Medical Corporation and his current practice location is 5820 Oberlin Dr, Ste. 205, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (877) 570-8362.

Kenneth Tan Tan is licensed to practice in Texas (license number J6262) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306008834.

Contact Information

	Kenneth Tan Tan, MD
	5820 Oberlin Dr, Ste. 205, San Diego, CA 92121-3742
	(877) 570-8362
	(877) 570-8362

Map and Direction

Physician's Profile

Full Name	Kenneth Tan Tan
Gender	Male
Speciality	Diagnostic Radiology
Experience	36 Years
Location	5820 Oberlin Dr, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth Tan Tan attended and graduated from University Of California, San Francisco School Of Medicine in 1988

NPI Data:

NPI Number: 1306008834
Provider Enumeration Date: 06/26/2008
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 1153485438
Enrollment ID: I20120501000037

Medical Identifiers

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

Identifier	Type	State	Issuer
1306008834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	M-2019 (Guam)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	J6262 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern California Hospital At Hollywood	Hollywood, CA	Hospital
Garfield Medical Center	Monterey park, CA	Hospital
Paradise Valley Hospital	National city, CA	Hospital
Los Angeles Community Hospital	Los angeles, CA	Hospital
Ahmc Anaheim Regional Medical Center	Anaheim, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kc Tan, M.d. Medical Corporation	2062719719	40

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. Kenneth Tan Tan allows following entities to bill medicare on his behalf.

Entity Name	Ellis Bandt Birkin Kollins & Wong Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20111020000050

Entity Name	Singleton Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20150701002707

Entity Name	Kc Tan, M.d. Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20160324000980

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. Kenneth Tan 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
Kenneth Tan Tan, MD 3455 S Nogales St, Ste 140, West Covina, CA 91792-5104 Ph: (626) 861-3131	Kenneth Tan Tan, MD 5820 Oberlin Dr, Ste. 205, San Diego, CA 92121-3742 Ph: (877) 570-8362

Reviews and Comments

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Kripa Anil Guram, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
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Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980

Kenneth Tan Tan, MD - Medicare Diagnostic Radiology in San Diego, CA