Dr Wyncel Joy Chan, MD | |
1614 25th St, Bedford, IN 47421-5000 | |
(812) 277-0118 | |
(812) 277-0127 |
Full Name | Dr Wyncel Joy Chan |
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Gender | Female |
Speciality | Pediatrics |
Location | 1614 25th St, Bedford, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639691744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01083442A (Indiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
Mailing Address | Practice Location Address |
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Dr Wyncel Joy Chan, MD 1 Hurley Plz, Flint, MI 48503-5902 Ph: () - | Dr Wyncel Joy Chan, MD 1614 25th St, Bedford, IN 47421-5000 Ph: (812) 277-0118 |
Dan Liviu Dusleag, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2516b Q St, Bedford, IN 47421 Phone: 812-276-1391 | |
Dr. Kevin A Jones, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
Edmundo Noel Tan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-279-3567 Fax: 812-275-1344 | |
Dr. Sarah Elizabeth Freese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 | |
George W Sorrells Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1614 25th St, Bedford, IN 47421 Phone: 812-277-0118 Fax: 812-277-0127 |