Dr Andrew Ginn Bong Young, MD | |
1 Hoppin St Ste 202, Providence, RI 02903-4141 | |
(401) 444-6551 | |
Not Available |
Full Name | Dr Andrew Ginn Bong Young |
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Gender | Male |
Speciality | Ophthalmology |
Location | 1 Hoppin St Ste 202, Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659310738 | NPI | - | NPPES |
00A898610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207W00000X | Ophthalmology | MD16400 (Rhode Island) | Primary |
207WX0009X | Ophthalmology - Glaucoma Specialist | MD16400 (Rhode Island) | Secondary |
Entity Name | Kevin Tan Md And Productions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659752319 PECOS PAC ID: 2961712666 Enrollment ID: O20151110000307 |
Mailing Address | Practice Location Address |
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Dr Andrew Ginn Bong Young, MD 4 La Linda Dr, Long Beach, CA 90807-3306 Ph: (310) 415-3676 | Dr Andrew Ginn Bong Young, MD 1 Hoppin St Ste 202, Providence, RI 02903-4141 Ph: (401) 444-6551 |
Marjorie A. Murphy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: One Hoppin Street, Suite 202, Providence, RI 02903 Phone: 401-831-4592 Fax: 401-831-4643 | |
Michael E Migliori, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Suite 202, Providence, RI 02903 Phone: 401-444-6551 Fax: 401-444-6587 | |
Dr. Noelle Layer Pruzan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 623 Atwells Ave, Providence, RI 02909 Phone: 401-273-7100 | |
Dr. Harold Arthur Woodcome Jr., MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 101 Plain St Ste 101, Providence, RI 02903 Phone: 401-274-5844 Fax: 401-274-9462 | |
Joseph Francis Ducharme, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 78 Baker Street, Providence, RI 02905 Phone: 401-831-4592 Fax: 401-831-4643 | |
John P Donahue, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 150 E Manning St, Providence, RI 02906 Phone: 401-272-2020 Fax: 401-421-5979 | |
King Wai To, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: One Hoppin Street, Suite 202, Providence, RI 02903 Phone: 401-831-4592 Fax: 401-831-4643 |