| Enoch David Han, MD | |
|
1850 E Park Ave Ste 201, State College, PA 16803-6706 | |
| (814) 689-3140 | |
| (814) 234-0491 |
| Full Name | Enoch David Han |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 33 Years |
| Location | 1850 E Park Ave Ste 201, State College, Pennsylvania |
| 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 |
|---|---|---|---|
| 1730146606 | NPI | - | NPPES |
| 0017572020004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD0688602L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Ssm Health Care Group | 0143608372 | 802 |
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Enoch David Han, MD 155 Wellness Way, State College, PA 16803-6797 Ph: (814) 231-7000 | Enoch David Han, MD 1850 E Park Ave Ste 201, State College, PA 16803-6706 Ph: (814) 689-3140 |
Dr. Salvatore M. Ramondelli, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Blake Alexander Stewart, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Dr. David Michael Chambers, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 201, State College, PA 16803 Phone: 814-234-7599 | |
Robert M. Hall, MD Surgery Medicare: Medicare Enrolled Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Dr. Asna A Amin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 | |
Matthew D Davidson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 164 Greenview Dr Ste 345, State College, PA 16803 Phone: 814-234-7599 Fax: 814-237-2126 |