Ima Sumac Duchicela Tanner, MD - Medicare Family Medicine in Richardson, TX

Ima Sumac Duchicela Tanner, MD is a medicare enrolled "Family Medicine" physician in Richardson, Texas. Her current practice location is 3030 Waterview Pkwy, Richardson, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 669-7070.

Ima Sumac Duchicela Tanner is licensed to practice in Texas (license number R2023) 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 1952744021.

Contact Information

Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080
(972) 669-7070
Not Available



Physician's Profile

Full NameIma Sumac Duchicela Tanner
GenderFemale
SpecialityFamily Medicine
Location3030 Waterview Pkwy, Richardson, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952744021
  • Provider Enumeration Date: 04/09/2013
  • Last Update Date: 06/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941427447
  • Enrollment ID: I20171030001594

Medical Identifiers

Medical identifiers for Ima Sumac Duchicela Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952744021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R2023 (Texas)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. Ima Sumac Duchicela Tanner allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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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. Ima Sumac Duchicela Tanner 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
Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080-1400

Ph: (972) 669-7070
Ima Sumac Duchicela Tanner, MD
3030 Waterview Pkwy,
Richardson, TX 75080

Ph: (972) 669-7070

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Family Medicine Doctors in Richardson, TX

Lawrie Hilton Friedman, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 670 N Coit Rd Ste 2355, Richardson, TX 75080
Phone: 972-644-3422    Fax: 972-644-5543
Dr. Ahmad Ghassan Abazid, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 888 S Greenville Ave Ste 304, Richardson, TX 75081
Phone: 469-684-5450    
Marium Palur Afzal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3030 Waterview Pkwy, Richardson, TX 75080
Phone: 972-669-7070    
Dr. Antoine Robert Albert,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 S Coit Rd, Ste 317, Richardson, TX 75080
Phone: 972-437-9090    Fax: 972-234-6474
Dr. Linda Shelton Halbrook, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2520 N Central Expy, Suite 100, Richardson, TX 75080
Phone: 972-234-3311    Fax: 972-669-8072
Charles Murray Kasbarian, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 670 W. Arapaho Rd, Suite 6, Richardson, TX 75080
Phone: 972-235-6311    Fax: 972-235-5951
John K Wood, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 970 N Coit Rd Ste 3040, Richardson, TX 75080
Phone: 972-238-8092    Fax: 972-238-8093

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