Reginald Martin Tatco, is a medicare enrolled "Physician Assistant" physician in Van Nuys, California. His current practice location is
6815 Noble Ave, Van Nuys, California. You can reach out to his office (for appointments etc.) via phone at
(818) 901-6600.
Reginald Martin Tatco is licensed to practice in California (license number 62858) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871226373.
Physician's Profile
Full Name | Reginald Martin Tatco |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 6815 Noble Ave, Van Nuys, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871226373
- Provider Enumeration Date: 07/03/2022
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193187789
- Enrollment ID: I20230814003121
Medical Identifiers
Medical identifiers for Reginald Martin Tatco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871226373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 62858 (California) | Secondary |
363A00000X | Physician Assistant | 62858 (California) | Primary |
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. Reginald Martin Tatco 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 |
Reginald Martin Tatco, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Reginald Martin Tatco, 6815 Noble Ave, Van Nuys, CA 91405-3796 Ph: (818) 901-6600 |
Reviews and Comments