Mrs Teresita Egido Tan, MD in Los Angeles, CA

Mrs Teresita Egido Tan, MD is a medicare enrolled "General Practice" physician in Los Angeles, California. Her current practice location is 244 S Oxford Ave, #9, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 382-1770.

Mrs Teresita Egido Tan is licensed to practice in California (license number A40376) 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 1396835633.

Contact Information

	Mrs Teresita Egido Tan, MD
	244 S Oxford Ave, #9, Los Angeles, CA 90004
	(213) 382-1770
	(213) 382-1895

Map and Direction

Physician's Profile

Full Name	Mrs Teresita Egido Tan
Gender	Female
Speciality	General Practice
Location	244 S Oxford Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396835633
Provider Enumeration Date: 10/16/2006
Last Update Date: 12/21/2010

Medicare PECOS Information:

PECOS PAC ID: 7618147570
Enrollment ID: I20110901000073

Medical Identifiers

Medical identifiers for Mrs Teresita Egido Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396835633	NPI	-	NPPES
00A403760	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	A40376 (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. Mrs Teresita Egido Tan allows following entities to bill medicare on her behalf.

Entity Name	Teresita E Tan M D Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023282605 PECOS PAC ID: 9234309170 Enrollment ID: O20110831000641

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. Mrs Teresita Egido 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
Mrs Teresita Egido Tan, MD 244 S Oxford Ave, #9, Los Angeles, CA 90004-5173 Ph: (213) 382-1770	Mrs Teresita Egido Tan, MD 244 S Oxford Ave, #9, Los Angeles, CA 90004 Ph: (213) 382-1770

Reviews and Comments

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Mrs Teresita Egido Tan, MD - Medicare General Practice in Los Angeles, CA