| Tran Medical Practice Pllc | |
|
1770 Long Pond Rd Suite 201 Rochester NY 14606-4057 | |
| (585) 247-8460 | |
| (585) 247-8462 |
| Full Name | Tran Medical Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1770 Long Pond Rd, Rochester, New York |
| Authorized Official Name and Position | Vu Tran (SOLE MBR) |
| Authorized Official Contact | 5852478460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Medical Practice Pllc 1770 Long Pond Rd Suite 201 Rochester NY 14606-4057 Ph: (585) 247-8460 | Tran Medical Practice Pllc 1770 Long Pond Rd Suite 201 Rochester NY 14606-4057 Ph: (585) 247-8460 |
| NPI Number | 1124375365 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 08/07/2012 |
| Medicare PECOS PAC ID | 0345497822 |
|---|---|
| Medicare Enrollment ID | O20120906000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124375365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 222275NY (New York) | Primary |
| Provider Name | Vu Q Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457392482 PECOS PAC ID: 3577461276 Enrollment ID: I20031219000293 |
| Provider Name | Karilee W Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588984355 PECOS PAC ID: 0840470001 Enrollment ID: I20110207000147 |
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