Marion Tan, DNP in Long Grove, IL - Medicare Nurse Practitioner

Marion Tan, DNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Long Grove, Illinois. His current practice location is 3880 Salem Lake Dr Ste F, Long Grove, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 719-2220.

Marion Tan is licensed to practice in Illinois (license number 209025913) 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 1427666304.

Contact Information

	Marion Tan, DNP
	3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292
	(847) 719-2220
	(847) 719-2265

Map and Direction

Provider's Profile

Full Name	Marion Tan
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	3880 Salem Lake Dr Ste F, Long Grove, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427666304
Provider Enumeration Date: 07/16/2020
Last Update Date: 09/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5991183600
Enrollment ID: I20220609000549

Medical Identifiers

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

Identifier	Type	State	Issuer
1427666304	NPI	-	NPPES
209025913	Medicaid	IL
MT8489785	Other	IL	DEA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.456357 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.025913 (Illinois)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	209025913 (Illinois)	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. Marion Tan allows following entities to bill medicare on his behalf.

Entity Name	Access Community Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985

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. Marion 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
Marion Tan, DNP 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220	Marion Tan, DNP 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220

Reviews and Comments

Nurse Practitioner Nurses in Long Grove, IL

Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
Johnnie Dominica Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
Mrs. Nicole Brooke Kinberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220
Rebecca Lynne Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
Julie A Grandolfo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
Miss Monica Lisa Bieszczad, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265
Angela Rose Depa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265

Marion Tan, DNP - Medicare Nurse Practitioner in Long Grove, IL