Si Woo An, is a medicare enrolled "Physician Assistant" in Rock Tavern, New York. His current practice location is
3 Wild Turkey Ln, Rock Tavern, New York. You can reach out to his office (for appointments etc.) via phone at
(201) 364-8465.
Si Woo An is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356063341.
Provider's Profile
| Full Name | Si Woo An |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3 Wild Turkey Ln, Rock Tavern, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356063341
- Provider Enumeration Date: 09/15/2022
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769822956
- Enrollment ID: I20240506000707
Medical Identifiers
Medical identifiers for Si Woo An such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356063341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Si Woo An 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 |
|---|
Si Woo An,
3 Wild Turkey Ln,
Rock Tavern, NY 12575-5419
Ph: (201) 364-8465 | Si Woo An,
3 Wild Turkey Ln,
Rock Tavern, NY 12575-5419
Ph: (201) 364-8465 |
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