Larissa R Tan, MD in Anaheim, CA

Larissa R Tan, MD is a medicare enrolled "Surgery" physician in Anaheim, California. Her current practice location is 441 N Lakeview Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (888) 988-2800.

Larissa R Tan is licensed to practice in California (license number G71354) 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 1033280912.

Contact Information

	Larissa R Tan, MD
	441 N Lakeview Ave, Anaheim, CA 92807-3028
	(888) 988-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	Larissa R Tan
Gender	Female
Speciality	Surgery
Location	441 N Lakeview Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033280912
Provider Enumeration Date: 11/13/2006
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9133311244
Enrollment ID: I20101007000920

Medical Identifiers

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

Identifier	Type	State	Issuer
1033280912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	G71354 (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. Larissa R Tan allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Larissa R 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
Larissa R Tan, MD 441 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (888) 988-2800	Larissa R Tan, MD 441 N Lakeview Ave, Anaheim, CA 92807-3028 Ph: (888) 988-2800

Reviews and Comments

Surgery Doctors in Anaheim, CA

Bakthan Savarirayan, M.D Surgery Medicare: Not Enrolled in Medicare Practice Location: 3356 W Ball Rd, Suite 205, Anaheim, CA 92804 Phone: 714-761-0332 Fax: 714-761-8792
Gail F. Mattson-gates, MD Surgery Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Leo Lin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3440 E La Palma Ave, Anaheim, CA 92806 Phone: 949-469-7221
Leslie B. Rand-luby, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Dr. Umer Iqbal Chaudhry, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3430 E La Palma Ave, Anaheim, CA 92806 Phone: 714-644-3359
Dr. Felix Roa Gaw, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 W La Palma Ave, Suite 209, Anaheim, CA 92801 Phone: 714-533-8885 Fax: 714-533-8884

Larissa R Tan, MD - Medicare Surgery in Anaheim, CA