Xiaoying Wan, MD | |
2200 Randallia Dr, Ft Wayne, IN 46805-4638 | |
(800) 899-5757 | |
Not Available |
Full Name | Xiaoying Wan |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 35 Years |
Location | 2200 Randallia Dr, Ft Wayne, Indiana |
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 |
---|---|---|---|
1811971369 | NPI | - | NPPES |
200381250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01055964A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Parkview Noble Hospital | Kendallville, IN | Hospital |
Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
Parkview Huntington Hospital | Huntington, IN | Hospital |
Parkview Lagrange Hospital | Lagrange, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allied Hospital Pathologists Pc | 4789649526 | 9 |
Entity Name | Allied Hospital Pathologists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831175389 PECOS PAC ID: 4789649526 Enrollment ID: O20041122000458 |
Mailing Address | Practice Location Address |
---|---|
Xiaoying Wan, MD 2458 Lake Ave, Fort Wayne, IN 46805-5406 Ph: (260) 424-2195 | Xiaoying Wan, MD 2200 Randallia Dr, Ft Wayne, IN 46805-4638 Ph: (800) 899-5757 |
Blandine B Bustamante, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 260-424-2195 | |
Darryl Smith, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 | |
Shuishih Sage Lee, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 | |
Ralph Craig Mcbride, Pathology Medicare: Accepting Medicare Assignments Practice Location: 2200 Randallia Dr, Ft Wayne, IN 46805 Phone: 800-899-5757 |