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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: August 23, 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
Phone(360) 782-3700
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
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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.

DOCTORS CLINIC A PC
Clinic/Center (Multi-Specialty)
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3610
JOHN DAVID LAMBERG MD
Internal Medicine
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3700
TERRY CHUN MD
Radiology (Diagnostic Radiology)
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3650
DOCTORS CLINIC APC
Clinic/Center (Multi-Specialty)
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3600
ANTHONY RAY HOOVLER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3700
BENJAMIN MARTIN C. SY M.D.
Internal Medicine (Pulmonary Disease)
2512 WHEATON WAY
BREMERTON, WA 98310
Kitsap County (360) 782-3700
MR. BRUCE D ROBERTSON LICSW
Social Worker (Clinical)
2512 WHEATON WAY, SUTIE B
BREMERTON, WA 98310
Kitsap County (360) 782-5700

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 Lai Tan's NPI number?

The NPI number for Lai Tan is 1720014657. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Lai Tan located?

Lai Tan practices at 2512 Wheaton Way, Bremerton, WA 98310. The listed phone number is (360) 782-3700.

What is Lai Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lai Tan enrolled in Medicare?

Yes. Lai Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lai Tan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.