Michelle Christiana Fan, DO is a medicare enrolled "Anesthesiology" physician in Tunkhannock,, Pennsylvania. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Professional Anesthesia Services Of North America Pc and her current practice location is
5950 Sr6, Tunkhannock,, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 836-2161.
Michelle Christiana Fan is licensed to practice in Pennsylvania (license number OS009565L) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588634331.
Physician's Profile
Full Name | Michelle Christiana Fan |
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Gender | Female |
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Speciality | Anesthesiology |
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Experience | 32 Years |
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Location | 5950 Sr6, Tunkhannock,, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michelle Christiana Fan attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1992
NPI Data:
- NPI Number: 1588634331
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 09/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 0648267989
- Enrollment ID: I20040428000758
Medical Identifiers
Medical identifiers for Michelle Christiana Fan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588634331 | NPI | - | NPPES |
001668739 0006 | Medicaid | PA | |
0016687390007 | Medicaid | PA | |
P00393423 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | OS009565L (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Professional Anesthesia Services Of North America Pc | 1658698824 | 76 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Christiana Fan allows following entities to bill medicare on her behalf.
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
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Entity Name | Professional Anesthesia Services Of North America Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Christiana Fan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Christiana Fan, DO 11781 Lee Jackson Memorial Hwy, Suite 550, Fairfax, VA 22033-3309 Ph: (571) 777-5102 | Michelle Christiana Fan, DO 5950 Sr6, Tunkhannock,, PA 18457 Ph: (570) 836-2161 |
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