Dr Gubert Lee Tan, MD | |
222 Marion Ave, Mansfield, OH 44903-2138 | |
(419) 526-1964 | |
(419) 526-0012 |
Full Name | Dr Gubert Lee Tan |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 36 Years |
Location | 222 Marion Ave, Mansfield, Ohio |
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 |
---|---|---|---|
1285621490 | NPI | - | NPPES |
2072813 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 036088453 (Illinois) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 35074660 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ohiohealth Corporation | 6305758426 | 1940 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Galion Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
Entity Name | Ohiohealth Regional Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538552468 PECOS PAC ID: 9739496902 Enrollment ID: O20150921001772 |
Mailing Address | Practice Location Address |
---|---|
Dr Gubert Lee Tan, MD 5400 Frantz Rd, Ste 250, Dublin, OH 43016-4144 Ph: (614) 544-6155 | Dr Gubert Lee Tan, MD 222 Marion Ave, Mansfield, OH 44903-2138 Ph: (419) 526-1964 |
Dr. Dalia Enid Perez-gonzalez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1456 Park Avenue West, Suite N, Mansfield, OH 44906 Phone: 419-529-4602 Fax: 419-529-4664 | |
Sonal Sinha, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 341 Cline Ave Ste 1, Mansfield, OH 44907 Phone: 419-564-4667 Fax: 419-710-9063 | |
Dr. Jamila K Khan, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-756-1717 | |
Dr. Raymond Joseph Baddour, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 370 Cline Ave, Ste C5, Mansfield, OH 44907 Phone: 419-756-6990 Fax: 419-756-0944 | |
Jay D Haar, MD PSYCHIATRIST Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 605 S Trimble Rd, Ste D, Mansfield, OH 44906 Phone: 419-756-9975 Fax: 419-756-1405 | |
Scott Varga, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903 Phone: 567-241-7700 Fax: 567-241-7719 |