Mark Makoto Tanaka, MD in San Leandro, CA - Medicare Emergency Medicine

Mark Makoto Tanaka, MD is a medicare enrolled "Emergency Medicine" physician in San Leandro, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Mark Makoto Tanaka is licensed to practice in California (license number A83467) 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 1104904960.

Contact Information

	Mark Makoto Tanaka, MD
	2500 Merced St, San Leandro, CA 94577-4201
	(510) 454-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Makoto Tanaka
Gender	Male
Speciality	Emergency Medicine
Experience	25 Years
Location	2500 Merced St, San Leandro, 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:

Mark Makoto Tanaka attended and graduated from University Of California, San Francisco School Of Medicine in 1999

NPI Data:

NPI Number: 1104904960
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 0648177055
Enrollment ID: I20031215000564

Medical Identifiers

Medical identifiers for Mark Makoto Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104904960	NPI	-	NPPES
00A834670	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A83467 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - San Leandro	San leandro, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Mark Makoto Tanaka allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mark Makoto Tanaka 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
Mark Makoto Tanaka, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000	Mark Makoto Tanaka, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000

Reviews and Comments

Emergency Medicine Doctors in San Leandro, CA

Chin-hsiang Feng, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-518-5598
Dr. Grace Mindy Lee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 Fax: 203-688-5599
Dr. Vibha Kundi Gupta, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 517-648-0339
Allison Boyd, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Dr. Bing Chung Shen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Anthony Michael Montefusco Iv, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13855 E 14th St, San Leandro, CA 94578 Phone: 209-342-2300 Fax: 209-524-4240

Mark Makoto Tanaka, MD - Medicare Emergency Medicine in San Leandro, CA