Fan Wu, DO is a medicare enrolled "Hospitalist" physician in Trinity, Florida. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Lahey Clinic Inc and his current practice location is
9330 State Road 54, Trinity, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 834-4000.
Fan Wu is licensed to practice in Massachusetts (license number 1021109) 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 1174101000.
Physician's Profile
| Full Name | Fan Wu |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 4 Years |
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| Location | 9330 State Road 54, Trinity, Florida |
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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:
- Fan Wu graduated from medical school in 2021
NPI Data:
- NPI Number: 1174101000
- Provider Enumeration Date: 03/31/2021
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325572274
- Enrollment ID: I20241114001726
Medical Identifiers
Medical identifiers for Fan Wu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174101000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 1021109 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lahey Clinic Inc | 2264336528 | 1268 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fan Wu allows following entities to bill medicare on his behalf.
| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097 |
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| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269 |
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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. Fan Wu 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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Fan Wu, DO
9330 State Road 54,
Trinity, FL 34655-1808
Ph: () - | Fan Wu, DO
9330 State Road 54,
Trinity, FL 34655-1808
Ph: (727) 834-4000 |
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