| Dr John C Chan, MD | |
|
4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | |
| (813) 264-6490 | |
| (813) 321-1878 |
| Full Name | Dr John C Chan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 4211 Vandyke Road, Lutz, Florida |
| 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 |
|---|---|---|---|
| 1861473605 | NPI | - | NPPES |
| 252779100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME0073332 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baycare Home Care Inc | Tampa, FL | Home health agency |
| Family Home Health Services | Tampa, FL | Home health agency |
| St Josephs Hospital | Tampa, FL | Hospital |
| Adventhealth Tampa | Tampa, FL | Hospital |
| South Florida Baptist Hospital | Plant city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sports And Orthopedic Rehabilitation Services Inc | 0840104253 | 210 |
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John C Chan, MD Po Box 10744, Clearwater, FL 33757-8744 Ph: (727) 532-0002 | Dr John C Chan, MD 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 Ph: (813) 264-6490 |
Dr. Paul A Lunseth, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Maday A Alonso, APRN Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17878 Althea Blue Pl, Lutz, FL 33558 Phone: 201-889-9001 |