Shawn Tahata, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in San Francisco, California. His current practice location is
3250 Geary Blvd Fl 3, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at
(415) 833-2998.
Shawn Tahata is licensed to practice in California (license number 174662A) 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 1285139170.
Physician's Profile
| Full Name | Shawn Tahata |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 3250 Geary Blvd Fl 3, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285139170
- Provider Enumeration Date: 03/24/2018
- Last Update Date: 09/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385993781
- Enrollment ID: I20240918004107
Medical Identifiers
Medical identifiers for Shawn Tahata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285139170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 29219 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 66118 (Minnesota) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 174662A (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. Shawn Tahata allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Shawn Tahata 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 |
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Shawn Tahata, MD
3250 Geary Blvd Fl 3,
San Francisco, CA 94118-3319
Ph: (415) 833-2998 | Shawn Tahata, MD
3250 Geary Blvd Fl 3,
San Francisco, CA 94118-3319
Ph: (415) 833-2998 |
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