| James Tan, MD | |
|
180 Parkwood Dr, Elkin, NC 28621-2430 | |
| (800) 291-4020 | |
| (919) 419-7247 |
| Full Name | James Tan |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 180 Parkwood Dr, Elkin, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831144542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34748 (North Carolina) | Primary |
| Entity Name | Jefferson Emergency Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
| Mailing Address | Practice Location Address |
|---|---|
| James Tan, MD 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (800) 291-4020 | James Tan, MD 180 Parkwood Dr, Elkin, NC 28621-2430 Ph: (800) 291-4020 |
Mark Hampton Harris, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 180 Parkwood Dr, Elkin, NC 28621 Phone: 336-527-7472 Fax: 336-835-8752 | |
Steven Isaacs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Parkwood Dr, Elkin, NC 28621 Phone: 800-291-4020 Fax: 919-419-7247 | |
Dr. Robert Everett Qualheim, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 N Bridge St, Elkin, NC 28621 Phone: 336-530-4491 Fax: 949-561-5143 | |
John Kerry Collins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Parkwood Dr, Elkin, NC 28621 Phone: 800-291-4020 Fax: 919-419-7247 | |
Dr. Anna Wright, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Parkwood Dr, Elkin, NC 28621 Phone: 336-527-7217 |