Mr Douglas S Tanaka, PA in Fresno, CA - Medicare Physician Assistant

Mr Douglas S Tanaka, PA is a medicare enrolled "Physician Assistant - Surgical" in Fresno, California. His current practice location is 2823 Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 459-4090.

Mr Douglas S Tanaka is licensed to practice in California (license number PA19873) 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 1225287725.

Contact Information

	Mr Douglas S Tanaka, PA
	2823 Fresno St, Fresno, CA 93721-1324
	(559) 459-4090
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas S Tanaka
Gender	Male
Speciality	Physician Assistant - Surgical
Location	2823 Fresno St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225287725
Provider Enumeration Date: 09/09/2008
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 9830253319
Enrollment ID: I20090128000141

Medical Identifiers

Medical identifiers for Mr Douglas S Tanaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225287725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA19873 (California)	Primary

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. Mr Douglas S Tanaka 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
Mr Douglas S Tanaka, PA 4910 E Clinton Way, Suite 101, Fresno, CA 93727-1560 Ph: (559) 443-2682	Mr Douglas S Tanaka, PA 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 459-4090

Reviews and Comments

Physician Assistant Nurses in Fresno, CA

Whitney Ann Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Ericson Mutsuo Hirose, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-443-2682 Fax: 559-443-2681
Chandni T Patel, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9715 N Willey Ct, Fresno, CA 93720 Phone: 559-260-9001
William Joseph Johncox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720 Phone: 559-432-6807 Fax: 559-432-6937
Rocio Patricia Naranjo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7471 N Fresno St, Fresno, CA 93720 Phone: 559-436-4500 Fax: 559-436-0500
Charlene Kim Dang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-3770
Kelby Borchgrevink, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3425 N 1st St, Fresno, CA 93726 Phone: 559-608-6581

Mr Douglas S Tanaka, PA - Medicare Physician Assistant in Fresno, CA