| Thao Nguyen Tran, MD | |
|
7201 Green Bay Rd Ste C, Kenosha, WI 53142-3532 | |
| (262) 842-2358 | |
| (888) 959-8367 |
| Full Name | Thao Nguyen Tran |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 31 Years |
| Location | 7201 Green Bay Rd Ste C, Kenosha, Wisconsin |
| 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 |
|---|---|---|---|
| 1891761524 | NPI | - | NPPES |
| K400133004 | Other | WI | MEDICARE PTAN |
| 44790-20 | Other | WI | WISCONSIN LICENSE |
| 036099127 | Other | IL | ILLINOIS LICENSE |
| 11357585 | Other | CAQH | |
| F400110685 | Other | IL | MEDICARE PTAN |
| 34243100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 44790-20 (Wisconsin) | Primary |
| 207W00000X | Ophthalmology | 036099127 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Entity Name | Thao Nguyen Tran Md Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639509789 PECOS PAC ID: 1456588375 Enrollment ID: O20140505001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Thao Nguyen Tran, MD 7201 Green Bay Rd Ste C, Kenosha, WI 53142-3532 Ph: (262) 842-2358 | Thao Nguyen Tran, MD 7201 Green Bay Rd Ste C, Kenosha, WI 53142-3532 Ph: (262) 842-2358 |
Dr. Mary F Schroeder-capelli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 | |
Dr. Vincent Paul Savaglio, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3535 30th Avenue, Suite 102, Kenosha, WI 53144 Phone: 262-657-3636 | |
Victor Stephen Slana, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6125 Green Bay Rd, Ste 800, Kenosha, WI 53142 Phone: 262-654-0726 Fax: 262-654-4365 | |
Saba J Kadlec, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 Fax: 616-396-0085 | |
Lin Chen, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 | |
Clinton Charles Warren, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5017 Green Bay Rd Ste 148, Kenosha, WI 53144 Phone: 262-420-5888 Fax: 262-420-5888 |