| Dr Chun Kuo Chan, MD | |
|
1265 Union Ave, Memphis, TN 38104-3415 | |
| (901) 725-5846 | |
| Not Available |
| Full Name | Dr Chun Kuo Chan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 1265 Union Ave, Memphis, Tennessee |
| 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 |
|---|---|---|---|
| 1083815112 | NPI | - | NPPES |
| 1083815112 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 22692 (Mississippi) | Secondary |
| 207L00000X | Anesthesiology | 47263 (Tennessee) | Secondary |
| 207L00000X | Anesthesiology | 83661 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Anesthesia Group, Pa | 9436047685 | 45 |
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Medical Anesthesia Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679527501 PECOS PAC ID: 9436047685 Enrollment ID: O20130611000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chun Kuo Chan, MD 6060 Primacy Pkwy, Suite 241, Memphis, TN 38119-5745 Ph: (901) 725-5846 | Dr Chun Kuo Chan, MD 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 725-5846 |
Dr. Joel R Slade, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657 | |
Dr. Ruth Anne Bridges, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-682-2872 | |
Dr. Jeffrey A Blalack, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 316-685-6091 | |
Frederick D. Jones Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5100 Poplar Ave Ste 2722, Memphis, TN 38137 Phone: 281-795-5891 | |
Dean M Harless, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 | |
Meghan Vogt Burkley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 50 N Dunlap St, Memphis, TN 38103 Phone: 901-287-6060 | |
Simindokht Hazrati, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5744 Nanjack Cir, Memphis, TN 38115 Phone: 901-797-9711 Fax: 901-797-9771 |