| Dr Justin Andrew Kan, MD | |
|
50 Calyx Ln, Cedar Crest, NM 87008 | |
| (505) 506-3138 | |
| Not Available |
| Full Name | Dr Justin Andrew Kan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 50 Calyx Ln, Cedar Crest, New Mexico |
| 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 |
|---|---|---|---|
| 1649412321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01095336A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | MD2012-0251 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Union Hospital Inc | Terre haute, IN | Hospital |
| Maria Parham Medical Center | Henderson, NC | Hospital |
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Hugh Chatham Memorial Hospital | Elkin, NC | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heritage Physician Services Llc | 6305100850 | 33 |
| Gem Capital Physicians Pllc | 8628320918 | 18 |
| Cep America Llc | 6608056171 | 995 |
| Kernersville Emergency Group, Pllc | 3375885429 | 53 |
| Yadkin Emergency Physicians Pllc | 3173875127 | 23 |
| Emergency Professionals Of Colorado Pc | 2860706967 | 41 |
| Piedmont Triad Physicians Pllc | 6406197334 | 37 |
| Bull City Physicians Pllc | 6901164938 | 18 |
| Tanglewood Park Physicians Pllc | 3476895129 | 47 |
| Entity Name | Houston County Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Entity Name | Emergency Group of Columbus LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Entity Name | Heritage Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Andrew Kan, MD 50 Calyx Ln, Cedar Crest, NM 87008 Ph: (505) 506-3138 | Dr Justin Andrew Kan, MD 50 Calyx Ln, Cedar Crest, NM 87008 Ph: (505) 506-3138 |
Amir Houshang Manoutchehri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12125 State Highway 14 N, Cedar Crest, NM 87008 Phone: 505-407-2174 Fax: 505-407-2174 |