Grace Fan, MD | |
801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015-1000 | |
(484) 526-4841 | |
(484) 526-4671 |
Full Name | Grace Fan |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 21 Years |
Location | 801 Ostrum St, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053516096 | NPI | - | NPPES |
0212491 | Medicaid | NJ | |
P00764685 | Other | PA | RAILROAD MEDICARE |
102190918 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD433763 (Pennsylvania) | Primary |
2085R0001X | Radiology - Radiation Oncology | 25MA09450900 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Hospital - Monroe Campus | Stroudsburg, PA | Hospital |
St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
St Luke's Hospital - Anderson Campus | Easton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Luke's Physician Group Inc | 6709798333 | 1727 |
Entity Name | Advanced Radiation Oncology Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738102 PECOS PAC ID: 3577466390 Enrollment ID: O20040129000622 |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
---|---|
Grace Fan, MD Po Box 513029, Philadelphia, PA 19175-3029 Ph: (855) 709-3112 | Grace Fan, MD 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015-1000 Ph: (484) 526-4841 |
Dr. Stuart N. Pollack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 | |
Lisa M Fedullo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, #303, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. Ivan Michael Fras, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. William W Woodruff, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 Highland Ave, Suite 130, Bethlehem, PA 18017 Phone: 610-868-1100 Fax: 610-868-1111 | |
William Harris Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum Street, Department Of Radiation Oncology, Bethlehem, PA 18015 Phone: 845-641-9461 | |
Bassam Al-mamoori, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 |