Gardner D Tarlow Md Inc - Medicare Primary Care in Anaheim, CA

Gardner D Tarlow Md Inc is a medicare enrolled primary clinic (Family Medicine) in Anaheim, California. The current practice location for Gardner D Tarlow Md Inc is 215 N State College Blvd Ste C, Anaheim, California. For appointments, you can reach them via phone at (714) 772-2210. The mailing address for Gardner D Tarlow Md Inc is 215 N State College Blvd Ste C, Anaheim, California and phone number is (714) 772-2210.

Gardner D Tarlow Md Inc is licensed to practice in California (license number A71363). The clinic also participates in the medicare program and its NPI number is 1518259084. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 772-2210.

Contact Information

Gardner D Tarlow Md Inc
215 N State College Blvd Ste C
Anaheim
CA 92806-2936
(714) 772-2210
(714) 774-2826

Primary Care Clinic Profile

Full NameGardner D Tarlow Md Inc
SpecialityFamily Medicine
Location215 N State College Blvd Ste C, Anaheim, California
Authorized Official Name and PositionGardner D Tarlow (OWNER)
Authorized Official Contact7147722210
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gardner D Tarlow Md Inc
215 N State College Blvd Ste C
Anaheim
CA 92806-2936

Ph: (714) 772-2210
Gardner D Tarlow Md Inc
215 N State College Blvd Ste C
Anaheim
CA 92806-2936

Ph: (714) 772-2210

NPI Details:

NPI Number1518259084
Provider Enumeration Date05/03/2011
Last Update Date01/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9638334790
Medicare Enrollment IDO20120625000016

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Medical Identifiers

Medical identifiers for Gardner D Tarlow Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518259084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A71363 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gardner D Tarlow Md Inc acts as a billing entity for following providers:
Provider NameGardner D Tarlow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871540369
PECOS PAC ID: 3971537184
Enrollment ID: I20050926001174

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