| Wentao Abram Pan, MD | |
|
10535 Hospital Way Bldg 651, Mather, CA 95655-4200 | |
| (916) 843-7000 | |
| Not Available |
| Full Name | Wentao Abram Pan |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 6 Years |
| Location | 10535 Hospital Way Bldg 651, Mather, California |
| 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 |
|---|---|---|---|
| 1225666928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A184037 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psynergy Programs, Inc. | 5193903813 | 11 |
| County Of San Joaquin | 6002703436 | 161 |
| Entity Name | County Of San Joaquin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
| Entity Name | Psynergy Programs, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801934450 PECOS PAC ID: 5193903813 Enrollment ID: O20110629000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Wentao Abram Pan, MD 10535 Hospital Way, Mather, CA 95655-4200 Ph: (916) 843-7000 | Wentao Abram Pan, MD 10535 Hospital Way Bldg 651, Mather, CA 95655-4200 Ph: (916) 843-7000 |
Dr. Leslie K Eaton, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16033 Grissom Ave, Mather, CA 95655 Phone: 916-366-5420 Fax: 916-366-5441 | |
Mr. Adam Quest, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-7572 | |
Scott Matthew Summers, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way 116a/sac, Mather, CA 95655 Phone: 916-843-7143 | |
Dr. Edward Lee Eaton, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10633 Grissom Ave, Mather, CA 95655 Phone: 916-355-5420 | |
Mai Vuong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10535 Hospital Way, Mather, CA 95655 Phone: 916-843-2732 | |
Dr. Tin Zar Shain, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10633 Grissom Avenue, Mather, CA 95655 Phone: 916-366-5420 Fax: 916-366-5441 |