Angelica Tan, NURSE PRACTIONER in Menifee, CA

Angelica Tan, NURSE PRACTIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Menifee, California. Her current practice location is 29095 Bayleaf Cir, Menifee, California. You can reach out to her office (for appointments etc.) via phone at (949) 310-0401.

Angelica Tan is licensed to practice in California (license number 95020641) 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 1437860020.

Contact Information

	Angelica Tan, NURSE PRACTIONER
	29095 Bayleaf Cir, Menifee, CA 92584-3350
	(949) 310-0401
	Not Available

Map and Direction

Provider's Profile

Full Name	Angelica Tan
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	29095 Bayleaf Cir, Menifee, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437860020
Provider Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022

Medicare PECOS Information:

PECOS PAC ID: 9436519188
Enrollment ID: I20230713001917

Medical Identifiers

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

Identifier	Type	State	Issuer
1437860020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95020641 (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. Angelica Tan allows following entities to bill medicare on her behalf.

Entity Name	Mission City Community Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710102009 PECOS PAC ID: 1658264684 Enrollment ID: O20040204000544

Entity Name	Jun R. Chiong, Md, Mph, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093099046 PECOS PAC ID: 5597925974 Enrollment ID: O20120321000723

Entity Name	Medex Specialty Network, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659134252 PECOS PAC ID: 1153761697 Enrollment ID: O20240430003895

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. Angelica 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
Angelica Tan, NURSE PRACTIONER 29095 Bayleaf Cir, Menifee, CA 92584-3350 Ph: () -	Angelica Tan, NURSE PRACTIONER 29095 Bayleaf Cir, Menifee, CA 92584-3350 Ph: (949) 310-0401

Reviews and Comments

Nurse Practitioner Nurses in Menifee, CA

Jennifer Salazar, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30855 Mountain Ash, Menifee, CA 92584 Phone: 909-316-9749
Shannon Bagnasco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26926 Cherry Hills Blvd, Suite B, Menifee, CA 92586 Phone: 951-216-2200
Chinwendu Loveline Igwe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29059 Gooseneck Trl, Menifee, CA 92584 Phone: 951-292-2641
Amber Munerlyn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29945 Blowing Wind Ct, Menifee, CA 92587 Phone: 951-833-5801
Dr. Juanette G Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27168 Newport Rd, Suite 1, Menifee, CA 92584 Phone: 951-246-3033 Fax: 951-246-7373
Tricia Rose Fontanilla Alegado, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29740 Mesa Verde Cir, Menifee, CA 92584 Phone: 760-807-4472
Jamie Ann Rogers, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29826 Haun Rd Ste 300, Menifee, CA 92586 Phone: 951-679-7022 Fax: 888-379-6223

Angelica Tan, NURSE PRACTIONER - Medicare Nurse Practitioner in Menifee, CA