Hendrik Ryan Lumakang Tan, DPM - Medicare Podiatrist in Santa Rosa, CA

Hendrik Ryan Lumakang Tan, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Santa Rosa, California. His current practice location is 2281 Cleveland Ave, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 544-3337.

Hendrik Ryan Lumakang Tan is licensed to practice in Indiana (license number 07001406A) 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 1316561871.

Contact Information

Hendrik Ryan Lumakang Tan, DPM
2281 Cleveland Ave,
Santa Rosa, CA 95403-2905
(707) 544-3337
(707) 544-0608

Map and Direction




Healthcare Provider's Profile

Full NameHendrik Ryan Lumakang Tan
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location2281 Cleveland Ave, Santa Rosa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316561871
  • Provider Enumeration Date: 06/01/2020
  • Last Update Date: 07/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567827066
  • Enrollment ID: I20230506000287

Medical Identifiers

Medical identifiers for Hendrik Ryan Lumakang Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316561871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 07001406A (Indiana)Secondary

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. Hendrik Ryan Lumakang Tan allows following entities to bill medicare on his behalf.
Provider NamePodiatry Associates Of Indiana Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1073606935
PECOS PAC ID: 0143295253
Enrollment ID: O20040901000419

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. Hendrik Ryan Lumakang 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 AddressPractice Location Address
Hendrik Ryan Lumakang Tan, DPM
2281 Cleveland Ave,
Santa Rosa, CA 95403-2905

Ph: (707) 544-3337
Hendrik Ryan Lumakang Tan, DPM
2281 Cleveland Ave,
Santa Rosa, CA 95403-2905

Ph: (707) 544-3337

Reviews and Comments


Podiatrist in Santa Rosa, CA

Adelina B. Stateva
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Phone: 707-546-2107    Fax: 707-573-0315
John Dirk Hollander, D.P.M.
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Kevin Grierson, DPM
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Practice Location: 2281 Cleveland Ave, Santa Rosa, CA 95403
Phone: 707-544-3337    
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Practice Location: 4761 Hoen Ave, Santa Rosa, CA 95405
Phone: 707-545-0570    Fax: 707-545-0575
John D Hollander Dpm Inc
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Ashleigh E Korves, DPM
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Practice Location: 1701 4th St Ste 100, Santa Rosa, CA 95404
Phone: 707-578-1222    Fax: 707-578-8348
Sharon M. Wiles, DPM
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Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.