| Kenneth Shu-wen Tan, MD | |
|
3217 S Providence Rd, Columbia, MO 65203-3639 | |
| (573) 884-7733 | |
| (573) 882-6228 |
| Full Name | Kenneth Shu-wen Tan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 3217 S Providence Rd, Columbia, Missouri |
| 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 |
|---|---|---|---|
| 1699039594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2012020842 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Lukes Home Care | Kansas city, MO | Home health agency |
| Slh Home Care And Hospice | Kansas city, MO | Hospice |
| Hedrick Medical Center | Chillicothe, MO | Hospital |
| Wright Memorial Hospital | Trenton, MO | Hospital |
| New Liberty Hospital District | Liberty, MO | Hospital |
| Saint Lukes North Hospital | Kansas city, MO | Hospital |
| Morningside Center | Chillicothe, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Hospital Of Chillicothe | 0143130393 | 16 |
| Entity Name | Saint Luke's Hospital Of Trenton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
| Entity Name | Saint Lukes Hospital Of Chillicothe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245433127 PECOS PAC ID: 0143130393 Enrollment ID: O20041014000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Shu-wen Tan, MD 3217 S Providence Rd, Columbia, MO 65203-3639 Ph: (573) 884-7733 | Kenneth Shu-wen Tan, MD 3217 S Providence Rd, Columbia, MO 65203-3639 Ph: (573) 884-7733 |
Nicholas Michael Lefevre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 N Keene St Ste 301, Columbia, MO 65201 Phone: 573-882-8000 Fax: 573-882-6600 | |
Shane Bolina, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 551 Veterans United Dr, Columbia, MO 65201 Phone: 573-884-7733 Fax: 573-884-7733 | |
Richelle J Koopman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2325 Smiley Ln, Columbia, MO 65202 Phone: 573-884-8980 Fax: 573-884-0040 | |
Susan Z. John, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 909 Hitt St, Columbia, MO 65211 Phone: 573-882-7481 Fax: 573-882-5370 | |
Dr. Christopher Joseph Sporleder, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Dr. Christopher D. Farmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 Fax: 573-443-0574 | |
David D Cravens, MD, MSPH, CMD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: One Hospital Drive, Columbia, MO 65201 Phone: 573-884-7733 Fax: 573-884-5559 |