Shirley Tan, MD in Loma Linda, CA - Medicare Internal Medicine

Shirley Tan, MD is a medicare enrolled "Internal Medicine" physician in Loma Linda, California. Her current practice location is 11201 Benton St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 825-7084.

Shirley Tan is licensed to practice in California (license number G066276) 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 1861503724.

Contact Information

	Shirley Tan, MD
	11201 Benton St, Loma Linda, CA 92357
	(909) 825-7084
	Not Available

Map and Direction

Physician's Profile

Full Name	Shirley Tan
Gender	Female
Speciality	Internal Medicine
Location	11201 Benton St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861503724
Provider Enumeration Date: 08/31/2006
Last Update Date: 05/24/2018

Medicare PECOS Information:

PECOS PAC ID: 2466605332
Enrollment ID: I20170707003141

Medical Identifiers

Medical identifiers for Shirley Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861503724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	G066276 (California)	Secondary
207R00000X	Internal Medicine	G066276 (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. Shirley Tan allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

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. Shirley 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
Shirley Tan, MD 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 825-7084	Shirley Tan, MD 11201 Benton St, Loma Linda, CA 92357 Ph: (909) 825-7084

Reviews and Comments

Internal Medicine Doctors in Loma Linda, CA

Petru Papacostea, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Moosa Azadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085
Douglas Wang, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174
Dr. Lynnetta E Skoretz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton Street, #111h, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3280
Shahab Sean Shahangian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211
Mst Nurjahan Khatun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650
Snorri Olafsson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191

Shirley Tan, MD - Medicare Internal Medicine in Loma Linda, CA