Agnes Tan, NP in Long Beach, CA - Medicare Nurse Practitioner

Agnes Tan, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Long Beach, California. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 2699 Atlantic Ave, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 988-7383.

Agnes Tan is licensed to practice in California (license number 95004938) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205384823.

Contact Information

	Agnes Tan, NP
	2699 Atlantic Ave, Long Beach, CA 90806-2710
	(562) 988-7383
	Not Available

Map and Direction

Provider's Profile

Full Name	Agnes Tan
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2699 Atlantic Ave, Long Beach, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Agnes Tan graduated from nursing school in 2016

NPI Data:

NPI Number: 1205384823
Provider Enumeration Date: 09/12/2016
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 7618254210
Enrollment ID: I20170509001814

Medical Identifiers

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

Identifier	Type	State	Issuer
1205384823	NPI	-	NPPES
95004938	Other	CA	NURSE PRACTITIONER LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95004938 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Agnes Tan allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Agnes 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
Agnes Tan, NP 2699 Atlantic Ave, Long Beach, CA 90806-2710 Ph: () -	Agnes Tan, NP 2699 Atlantic Ave, Long Beach, CA 90806-2710 Ph: (562) 988-7383

Reviews and Comments

Nurse Practitioner Nurses in Long Beach, CA

Mrs. Elisha Marie Martin, MSN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 310-350-8902
Ms. Eunice N Bisong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336
Michael Thomas Fabian, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 Fax: 916-703-6547
Mia Spinelli Loftus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 419, Long Beach, CA 90806 Phone: 562-490-9900
Christine Marie Moak, AGACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3060 Mcnab Ave, Long Beach, CA 90808 Phone: 562-277-4741
Mrs. Christine Uy Titensky, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 E 28th St Ste 301, Long Beach, CA 90806 Phone: 562-269-0300
Mr. Alvaro Gonzales Botello, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Atlantic Ave Suite 715, Long Beach, CA 90813 Phone: 562-983-5496 Fax: 562-432-1864

Agnes Tan, NP - Medicare Nurse Practitioner in Long Beach, CA