Mr J Dexter R Tanjuakio, PA in Colton, CA - Medicare Physician Assistant

Mr J Dexter R Tanjuakio, PA is a medicare enrolled "Physician Assistant" in Colton, California. His current practice location is 400 N Pepper Ave, Colton, California. You can reach out to his office (for appointments etc.) via phone at (909) 702-8886.

Mr J Dexter R Tanjuakio is licensed to practice in California (license number PA19521) 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 1730362229.

Contact Information

	Mr J Dexter R Tanjuakio, PA
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 702-8886
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr J Dexter R Tanjuakio
Gender	Male
Speciality	Physician Assistant
Location	400 N Pepper Ave, Colton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730362229
Provider Enumeration Date: 12/07/2007
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3375621733
Enrollment ID: I20080424000798

Medical Identifiers

Medical identifiers for Mr J Dexter R Tanjuakio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730362229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA19521 (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 J Dexter R Tanjuakio 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 J Dexter R Tanjuakio, PA Po Box 142, Upland, CA 91785-0142 Ph: (909) 702-8886	Mr J Dexter R Tanjuakio, PA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 702-8886

Reviews and Comments

Physician Assistant Nurses in Colton, CA

Richard Anthony Benavidez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Tiffany Jackie Hwang, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave # 205, Colton, CA 92324 Phone: 909-331-9598
Lawrence David Gates, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 N. Pepper Avenue, Colton, CA 92324 Phone: 909-580-1400
Mrs. Amy Elizabeth Dahlberg, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-354-2195
Edward V. Schelert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Ave, Arrowhead Regional Medical Center, Colton, CA 92324 Phone: 909-580-1000 Fax: 909-580-3333
Brian Kent Heaton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-3390
Emma Werner Oliver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000

Mr J Dexter R Tanjuakio, PA - Medicare Physician Assistant in Colton, CA