Andrew Tan, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Providence, Rhode Island. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2021 and has 5 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Baystate Medical Practices Inc and his current practice location is
593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 793-2695.
Andrew Tan is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487234647.
Physician's Profile
| Full Name | Andrew Tan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 5 Years |
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| Location | 593 Eddy St, Providence, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrew Tan attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2021
NPI Data:
- NPI Number: 1487234647
- Provider Enumeration Date: 04/12/2021
- Last Update Date: 01/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 1557744513
- Enrollment ID: I20251202002944
Medical Identifiers
Medical identifiers for Andrew Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487234647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 1025199 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baystate Medical Practices Inc | 5991602971 | 1339 |
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. Andrew Tan 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 |
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Andrew Tan, DO
593 Eddy St,
Providence, RI 02903-4923
Ph: (401) 793-2695 | Andrew Tan, DO
593 Eddy St,
Providence, RI 02903-4923
Ph: (401) 793-2695 |
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