| Tam Pham Mclean, | |
|
5105 Som Center Rd, #106, Willoughby, OH 44094-4203 | |
| (440) 953-5740 | |
| (440) 953-5741 |
| Full Name | Tam Pham Mclean |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 5105 Som Center Rd, Willoughby, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114260122 | NPI | - | NPPES |
| '0190167 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.127316 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Health | Concord, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Hospital System, Inc. | 6002713922 | 95 |
| Entity Name | Lake Hospital System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Tam Pham Mclean, 7590 Auburn Road, Suite 014, Attn: Med Staff, Concord Twp, OH 44077-9176 Ph: (440) 354-1899 | Tam Pham Mclean, 5105 Som Center Rd, #106, Willoughby, OH 44094-4203 Ph: (440) 953-5740 |
Dr. Ming Huei Phillip Chiang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 36001 Euclid Ave, B4, Willoughby, OH 44094 Phone: 440-946-5151 Fax: 440-946-8841 | |
Dr. Anne Margaret Rex, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34820 Chardon Rd, Willoughby, OH 44094 Phone: 440-944-5700 Fax: 440-944-7849 | |
Maita Louise Jarkewicz, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4661 Maple St, Willoughby, OH 44094 Phone: 440-724-7471 | |
Miss Christina Maria Chandler, REGISTERED NURSE Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 39021 Signature Circle, Willoughby, OH 44094 Phone: 216-533-9414 | |
Katarina Plavljanic, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-722-8017 |