Individual ProviderRojack TanAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945(301) 838-9606PECOS EnrollmentBased on the most recent information from CMS, provider Rojack Tan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1528015765Provider TypeIndividualFull NameTan, RojackCredentialM.D.GenderMaleEnumeration Date5/30/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address14820 Physicians Ln, 242, Rockville, MD 20850-3945Phone(301) 838-9606FaxUnlisted FaxMailing LocationMailing Address507 Goodland Pl, Rockville, MD 20850-7741PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseD58920Maryland