Lancy Mimi Tan, MD in Shoreline, WA

Lancy Mimi Tan, MD is a medicare enrolled "Surgery" physician in Shoreline, Washington. Her current practice location is 19930 Ballinger Way Ne, Shoreline, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 778-2220.

Lancy Mimi Tan is licensed to practice in Washington (license number MD61170965) 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 1073044301.

Contact Information

	Lancy Mimi Tan, MD
	19930 Ballinger Way Ne, Shoreline, WA 98155-1223
	(425) 778-2220
	(425) 778-7701

Map and Direction

Physician's Profile

Full Name	Lancy Mimi Tan
Gender	Female
Speciality	Surgery
Location	19930 Ballinger Way Ne, Shoreline, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073044301
Provider Enumeration Date: 03/27/2017
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 4789955220
Enrollment ID: I20220707001800

Medical Identifiers

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

Identifier	Type	State	Issuer
1073044301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD210187 (Oregon)	Secondary
208600000X	Surgery	MD61170965 (Washington)	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. Lancy Mimi Tan allows following entities to bill medicare on her behalf.

Entity Name	Legacy Good Samaritan Hospital And Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416

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. Lancy Mimi 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
Lancy Mimi Tan, MD 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 Ph: (425) 778-2220	Lancy Mimi Tan, MD 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 Ph: (425) 778-2220

Reviews and Comments

Surgery Doctors in Shoreline, WA

Dr. Jedediah A Kaufman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19930 Ballinger Way Ne, Shoreline, WA 98155 Phone: 425-778-2220
Dr. Sigrid Pakula Guyton, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Nw Highland Dr, The Highlands, 111, Shoreline, WA 98177 Phone: 206-365-1479
Alvina Won, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19930 Ballinger Way Ne, Shoreline, WA 98155 Phone: 425-778-2220
Brandon Willem Vanderwel, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 19930 Ballinger Way Ne, Shoreline, WA 98155 Phone: 425-778-2220
Dr. Kurtis Alan Stewart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19930 Ballinger Way Ne, Shoreline, WA 98155 Phone: 425-778-2220
Robert W Landerholm, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19930 Ballinger Way Ne, Shoreline, WA 98155 Phone: 425-778-2220

Lancy Mimi Tan, MD - Medicare Surgery in Shoreline, WA