LAI WAN TAN M.D.
NPI 1720014657
Internal Medicine in Bremerton, WA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
2512 WHEATON WAY, BREMERTON, WA 98310(360) 782-3700 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Dec 14, 2021 (2 updates tracked since 2021).

About Lai Wan Tan M.d. NPPES

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

LAI WAN TAN M.D. (NPI 1720014657) is an individual internal medicine provider in Bremerton, Washington, licensed in Washington (MD00036150) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1720014657
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAI WAN TANCredential: M.D.
Location Address2512 WHEATON WAYBremerton, WA 98310-3303
Mailing Address2512 Wheaton WayBremerton, WA 98310-3303
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1720014657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WA · MD00036150
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2512 WHEATON WAY, Bremerton, WA 98310

Other Identifiers 5

Other1918TARegence Blueshield
Other110216790Railroad Medicare
Other144839Labor & Industries
Other5274746Aetna
Medicaid8277956WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lai Wan Tan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799722716
PECOS Enrollment IDI20080423000445
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98310 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 7

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

Internal Medicine (Pulmonary Disease)
2512 WHEATON WAY
BREMERTON, WA 98310
Clinic/Center (Multi-Specialty)
2512 WHEATON WAY
BREMERTON, WA 98310
Clinic/Center (Multi-Specialty)
2512 WHEATON WAY
BREMERTON, WA 98310
Social Worker (Clinical)
2512 WHEATON WAY, SUTIE B
BREMERTON, WA 98310
Internal Medicine
2512 WHEATON WAY
BREMERTON, WA 98310
Radiology (Diagnostic Radiology)
2512 WHEATON WAY
BREMERTON, WA 98310
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2512 WHEATON WAY
BREMERTON, WA 98310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720014657, enumerated as an "individual" on June 23, 2006.

The provider is located at 2512 WHEATON WAY BREMERTON, WA 98310 and the phone number is (360) 782-3700.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare and Aetna. Please consult your insurance carrier or call the provider to verify.