EGBERT AUNG KYAING TAN
NPI 1245427111
Psychiatry & Neurology - Psychiatry in Green Bay, WI

Q: What is Egbert Tan's NPI number?

The NPI number for Egbert Tan is 1245427111. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Egbert A Tan M.D..

Q: What is Egbert Tan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Egbert Tan was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 25, 2007PECOS Enrolled

2640 W POINT RD, GREEN BAY, WI 54304(920) 490-3790 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Egbert Aung Kyaing Tan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EGBERT AUNG KYAING TAN (NPI 1245427111) is an individual psychiatry provider in Green Bay, Wisconsin, licensed in Wisconsin (28445-20) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1245427111

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameEGBERT AUNG KYAING TAN

Location Address2640 W POINT RDGreen Bay, WI 54304-1344

Mailing Address899 Post RdScarsdale, NY 10583-5517 · (914) 725-5442

Phone(920) 490-3790

Sole ProprietorYes

Medical School CMSOtherGraduated 1976

Enumeration DateSeptember 25, 2007

Last NPPES UpdateOctober 9, 2025

NPPES CertifiedOctober 9, 2025

✔ NPI 1245427111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in WI · 28445-20✔ Licensed in NY · 183140

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

2640 W POINT RD, Green Bay, WI 54304

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Other Names 1

Professional Name (2)Egbert A Tan M.d.

Secondary Practice Locations 2

Location 13150 Gershwin DrGreen Bay, WI 54311-4328 · Phone (920) 391-4700

Location 2899 Post RdScarsdale, NY 10583-5517 · Phone (914) 725-5542

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Egbert Aung Kyaing Tan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537330618

PECOS Enrollment IDI20130827000937

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Egbert Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Brown

8.8 mi

Psychiatry

3150 GERSHWIN DRIVE
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
24 clinicians in this Medicare group

NPI 1679747059 (920) 391-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

130 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. AMY FISCHER WILLIAMS MSW, APSW, DSW

Social Worker (Clinical)

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 490-3790

MISS STEPHANIE J ROTTIER LPC

Counselor (Professional)

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 490-3790

MICHAEL P SAYERS PH D

Psychologist

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 869-2711

TINA M GRIFFITH

Counselor (Professional)

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 490-3790

MR. SCOTT D LALONDE CSAC

Counselor (Addiction (Substance Use Disorder))

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 869-2711

MS. REBECCA M KRUEGER APSW CSAC

Social Worker (Clinical)

2640 W POINT RD, ONEIDA BEHAVIORAL HEALTH
GREEN BAY, WI 54304

Brown County (920) 490-3790

SANGITA PATEL MD

Psychiatry & Neurology (Psychiatry)

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 490-3790

ANN ROCKHILL MS CICSW CADCII

Psychologist

2640 W POINT RD
GREEN BAY, WI 54304

Brown County (920) 869-2711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Egbert Tan's NPI number?

The NPI number for Egbert Tan is 1245427111. It was assigned to this individual provider in the NPPES registry on September 25, 2007. The provider is also known as Egbert A Tan M.D..

Where is Egbert Tan located?

Egbert Tan practices at 2640 W Point Rd, Green Bay, WI 54304. The listed phone number is (920) 490-3790.

What is Egbert Tan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Egbert Tan enrolled in Medicare?

Yes. Egbert Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Egbert Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Egbert Tan reassigns Medicare benefits to County Of Brown (Green Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Egbert Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Egbert Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Quartz and 1 other insurer list Egbert Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Egbert Tan was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.