Marissa Luan Tan, DO, MPH is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Camden, New Jersey. Her current practice location is
800 Cooper St Ste 4004th, Camden, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 342-3040.
Marissa Luan Tan is licensed to practice in Pennsylvania (license number OS020328) 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 1720583818.
Physician's Profile
Full Name | Marissa Luan Tan |
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Gender | Female |
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Speciality | Preventive Medicine - Addiction Medicine |
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Location | 800 Cooper St Ste 4004th, Camden, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720583818
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870998503
- Enrollment ID: I20220609000969
Medical Identifiers
Medical identifiers for Marissa Luan Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720583818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083A0300X | Preventive Medicine - Addiction Medicine | H0087983 (Maryland) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 25MB12089100 (New Jersey) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 25MB12089100 (New Jersey) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | OS020328 (Pennsylvania) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | H0087983 (Maryland) | Secondary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | OS020328 (Pennsylvania) | Secondary |
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. Marissa Luan Tan allows following entities to bill medicare on her behalf.
Entity Name | Ars Treatment Centers Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346731171 PECOS PAC ID: 0042568131 Enrollment ID: O20180807000056 |
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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. Marissa Luan 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 |
Marissa Luan Tan, DO, MPH 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Marissa Luan Tan, DO, MPH 800 Cooper St Ste 4004th, Camden, NJ 08102-1155 Ph: (856) 342-3040 |
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