Jason J Chan, MD | |
2720 Plaza Dr Ste 2200, Wausau, WI 54401-4158 | |
(715) 847-2311 | |
(715) 847-2312 |
Full Name | Jason J Chan |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2720 Plaza Dr Ste 2200, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376500439 | NPI | - | NPPES |
5909684 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2008-00899 (North Carolina) | Primary |
Entity Name | Aspirus Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Mailing Address | Practice Location Address |
---|---|
Jason J Chan, MD 2720 Plaza Dr Ste 2200, Wausau, WI 54401-4158 Ph: (715) 847-2311 | Jason J Chan, MD 2720 Plaza Dr Ste 2200, Wausau, WI 54401-4158 Ph: (715) 847-2311 |
Kay B Sorenson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5385 | |
Dr. David L Mathias, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Lori L Shepherd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Mary Jo Wendling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr, Suite 2200, Wausau, WI 54401 Phone: 715-847-2311 | |
Rebecca Padilla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401 Phone: 715-847-2311 | |
Dr. Carlos E Torres, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr, Suite 2200, Wausau, WI 54401 Phone: 715-847-2311 Fax: 715-847-2312 |