Connie Yi Qing Tan, NP in Daly City, CA - Medicare Nurse Practitioner

Connie Yi Qing Tan, NP is a medicare enrolled "Nurse Practitioner - Family" in Daly City, California. Her current practice location is 1800 Sullivan Ave Rm 101, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 994-0459.

Connie Yi Qing Tan is licensed to practice in California (license number NP95020349) 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 1679211015.

Contact Information

	Connie Yi Qing Tan, NP
	1800 Sullivan Ave Rm 101, Daly City, CA 94015-2227
	(650) 994-0459
	Not Available

Map and Direction

Provider's Profile

Full Name	Connie Yi Qing Tan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1800 Sullivan Ave Rm 101, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679211015
Provider Enumeration Date: 05/25/2022
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8527442607
Enrollment ID: I20220909000134

Medical Identifiers

Medical identifiers for Connie Yi Qing Tan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679211015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95020349 (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. Connie Yi Qing Tan allows following entities to bill medicare on her behalf.

Entity Name	Carrillo Medical Group Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730223421 PECOS PAC ID: 1052342029 Enrollment ID: O20050830000368

Entity Name	American Current Care Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420

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. Connie Yi Qing 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
Connie Yi Qing Tan, NP 4325 Jessica Cir, Fremont, CA 94555-2102 Ph: (415) 810-8684	Connie Yi Qing Tan, NP 1800 Sullivan Ave Rm 101, Daly City, CA 94015-2227 Ph: (650) 994-0459

Reviews and Comments

Nurse Practitioner Nurses in Daly City, CA

Duane Medeiros, MSN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Campus Dr Ste 102, Daly City, CA 94015 Phone: 650-266-8242
Mr. Fidel Manzano Cadag, NP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 310, Daly City, CA 94015 Phone: 650-755-3939 Fax: 650-755-3883
Leigh Pauline Shinn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Mountain View Dr Apt 10, Daly City, CA 94014 Phone: 415-606-1208
Ms. Laleh Rezaei-homami, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 901 Campus Dr Ste 111, Daly City, CA 94015 Phone: 650-652-8720
Ms. Gail Violet Roettgen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Sullivan Ave, Lower Level, Daly City, CA 94015 Phone: 415-680-4135 Fax: 415-520-5153
Mrs. Anadelia B Kim, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave, Daly City, CA 94015 Phone: 650-992-5300
Ruth Reyes Ramos, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1498 Southgate Ave, Suite 102, Daly City, CA 94015 Phone: 650-755-4490 Fax: 650-755-2920

Connie Yi Qing Tan, NP - Medicare Nurse Practitioner in Daly City, CA