Dr Ethan Tran, MD | |
26338 73rd Ave Fl 2, Glen Oaks, NY 11004-1004 | |
(408) 600-4490 | |
Not Available |
Full Name | Dr Ethan Tran |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 26338 73rd Ave Fl 2, Glen Oaks, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518258268 | NPI | - | NPPES |
8DG075 | Other | TX | BCBS |
1518258268 | Other | TX | TRICARE SOUTH |
302201402 | Medicaid | TX | |
302201401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 261208-1 (New York) | Primary |
Entity Name | Acs Primary Care Physicians Southwest Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Mailing Address | Practice Location Address |
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Dr Ethan Tran, MD 26338 73rd Ave Fl 2, Glen Oaks, NY 11004-1004 Ph: (408) 600-4490 | Dr Ethan Tran, MD 26338 73rd Ave Fl 2, Glen Oaks, NY 11004-1004 Ph: (408) 600-4490 |
Dr. Michael C Leung, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 270-05 76th Ave, Glen Oaks, NY 11004 Phone: 718-470-7500 | |
David Steller Edwards, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 26335 74th Ave, 1st Floor, Glen Oaks, NY 11004 Phone: 718-470-7500 | |
Dr. Robert Glen Larsen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7411 263rd St Apt A1, Glen Oaks, NY 11004 Phone: 503-330-6123 | |
Olga Lisnyak, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 26524 74th Ave, Apt G 1, Glen Oaks, NY 11004 Phone: 347-894-8361 |