Colin Chan, MD | |
12450 Roosevelt Blvd N, Suite 101, St Petersburg, FL 33716-1902 | |
(727) 571-1688 | |
(727) 572-0900 |
Full Name | Colin Chan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 30 Years |
Location | 12450 Roosevelt Blvd N, St Petersburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194710871 | NPI | - | NPPES |
252278100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME73079 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Coast Primary Care, Llc | 6709041585 | 5 |
Entity Name | West Coast Primary Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528327087 PECOS PAC ID: 6709041585 Enrollment ID: O20120628000371 |
Mailing Address | Practice Location Address |
---|---|
Colin Chan, MD Po Box 12868, St Petersburg, FL 33733-2868 Ph: (727) 824-8357 | Colin Chan, MD 12450 Roosevelt Blvd N, Suite 101, St Petersburg, FL 33716-1902 Ph: (727) 571-1688 |
Dr. Carolina Vac Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 9th St N Ste 10, St Petersburg, FL 33702 Phone: 727-521-2424 Fax: 727-521-2425 | |
Dr. Mary Anne Mcginn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Bay Pines Va Healthcare System, 10000 Bay Pines Blvd, St Petersburg, FL 33744 Phone: 727-398-6661 | |
Howard Diamond, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 7th Ave N, St Petersburg, FL 33705 Phone: 727-384-1000 Fax: 727-823-4670 | |
Adam A Brunson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Suite B, St Petersburg, FL 33716 Phone: 727-561-4303 Fax: 727-561-9299 | |
Kevin B Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Central Ave, St Petersburg, FL 33707 Phone: 727-381-1144 Fax: 727-381-6901 | |
Dr. Pedro Jose Morales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5500 Dr Mlk Jr St N, St Petersburg, FL 33703 Phone: 727-525-5500 Fax: 727-522-2574 | |
Heather Larock Christie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave N Ste 240, St Petersburg, FL 33713 Phone: 727-220-9080 |