Nicholas Gan Tan, DPM - Medicare Podiatrist in Vallejo, CA

Nicholas Gan Tan, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Vallejo, California. He went to Temple University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (909) 633-2881.

Nicholas Gan Tan is licensed to practice in California (license number EL6709) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346657327.

Contact Information

Nicholas Gan Tan, DPM
975 Sereno Dr,
Vallejo, CA 94589-2441
(909) 633-2881
Not Available



Healthcare Provider's Profile

Full NameNicholas Gan Tan
GenderMale
SpecialityPodiatry
Experience10 Years
Location975 Sereno Dr, Vallejo, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Gan Tan attended and graduated from Temple University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1346657327
  • Provider Enumeration Date: 07/22/2014
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860735396
  • Enrollment ID: I20190523001856

Medical Identifiers

Medical identifiers for Nicholas Gan Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346657327NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery EL6709 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital, RiversideRiverside, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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. Nicholas Gan Tan allows following entities to bill medicare on his behalf.
Provider NameSouthern California Permanente Medical Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. Nicholas Gan 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
Nicholas Gan Tan, DPM
521 Greenbriar Cir,
Petaluma, CA 94954-3528

Ph: (909) 633-2881
Nicholas Gan Tan, DPM
975 Sereno Dr,
Vallejo, CA 94589-2441

Ph: (909) 633-2881

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Podiatrist in Vallejo, CA

Napa Solano Foot And Ankle
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1460 N Camino Alto, Suite 101, Vallejo, CA 94589
Phone: 707-644-4049    Fax: 707-644-4687
Ronald Delosreyes Paterno, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Dr. Monica Jung,
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Stephen Haynam,
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-3338    
Ninveh Omlin, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-5033    Fax: 707-651-3685
Lance Vanwoy, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    

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