Miss Maristela Tan, DMD - Medicare Dentist in Fairfield, CA

Miss Maristela Tan, DMD is a medicare enrolled "Dentist" provider in Fairfield, California. Her current practice location is 2440 N Texas St, Fairfield, California. You can reach out to her office (for appointments etc.) via phone at (707) 422-4600.

Miss Maristela Tan is licensed to practice in California (license number 50829) 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 1164569646.

Contact Information

Miss Maristela Tan, DMD
2440 N Texas St,
Fairfield, CA 94533-1602
(707) 422-4600
(707) 422-0396



Healthcare Provider's Profile

Full NameMiss Maristela Tan
GenderFemale
SpecialityDentist
Location2440 N Texas St, Fairfield, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164569646
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880995984
  • Enrollment ID: I20151215000792

Medical Identifiers

Medical identifiers for Miss Maristela Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164569646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 50829 (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. Miss Maristela 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
Miss Maristela Tan, DMD
2440 N Texas St,
Fairfield, CA 94533-1602

Ph: (707) 422-4600
Miss Maristela Tan, DMD
2440 N Texas St,
Fairfield, CA 94533-1602

Ph: (707) 422-4600

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› Verified 9 days ago


Dentist in Fairfield, CA

Dr. Mark James Warner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1291 Oliver Rd, Fairfield, CA 94534
Phone: 707-422-7633    Fax: 707-422-2630
Dr. David Alan Dziachan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1295 Oliver Road, Fairfield, CA 94534
Phone: 707-427-3172    Fax: 707-427-3769
Dr. Claudine Ann D Yu, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4455 Central Way, Suite A, Fairfield, CA 94534
Phone: 707-863-0777    Fax: 707-863-0700
Dr. Armaun Karimzadeh, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3694 Hilborn Rd Ste 100, Fairfield, CA 94534
Phone: 707-422-5444    
Kyle Mcnulty, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5041 Business Center Dr, Fairfield, CA 94534
Phone: 831-359-1148    
Dr. James Changwon Choi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 60th Medical Group/sghq, 101 Bodin Circle Travis Afb, Fairfield, CA 94535
Phone: 707-423-7611    
Dr. Florinda Cangco Delrosario, DMD,DDS.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4737 Mangels Blvd, Fairfield, CA 94534
Phone: 707-864-3034    Fax: 707-864-3737

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