Dr Mark Tan, MD | |
209 Fair Oaks Ave, South Pasadena, CA 91030-1814 | |
(626) 396-2900 | |
Not Available |
Full Name | Dr Mark Tan |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 30 Years |
Location | 209 Fair Oaks Ave, South Pasadena, California |
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 |
---|---|---|---|
1578658266 | NPI | - | NPPES |
00A946240 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | A94624 (California) | Secondary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | A94624 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The University Of Chicago Medical Center | Chicago, IL | Hospital |
Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The University Of Chicago Medical Center | 7618880766 | 779 |
University Of Chicago | 7719899426 | 1157 |
Entity Name | University Of Chicago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Tan, MD Po Box 512185, Los Angeles, CA 90051-0185 Ph: (626) 775-3514 | Dr Mark Tan, MD 209 Fair Oaks Ave, South Pasadena, CA 91030-1814 Ph: (626) 396-2900 |
Mitchell Curtis Latter, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1499 Huntington Dr Ste 508, South Pasadena, CA 91030 Phone: 626-799-9588 Fax: 626-799-9339 | |
Dr. Candy Kaihing Chan, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 709 Fremont Ave Ste C, South Pasadena, CA 91030 Phone: 626-507-5655 Fax: 626-507-5656 |