Si Woo An, is a
Physician Assistant based in Rock Tavern, New York. Si Woo An is licensed to practice in * (Not Available) (license number ) and his current practice location is
3 Wild Turkey Ln, Rock Tavern, New York. He can be reached at his office (for appointments etc.) via phone at
(201) 364-8465.
NPI number for Si Woo An is 1356063341 and his current mailing address is 3 Wild Turkey Ln, Rock Tavern, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356063341.
Provider's Profile
Full Name | Si Woo An |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3 Wild Turkey Ln, Rock Tavern, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356063341
- Provider Enumeration Date: 09/15/2022
- Last Update Date: 09/15/2022
Medical Identifiers
Medical identifiers for Si Woo An such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356063341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Si Woo An is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Si Woo An, 3 Wild Turkey Ln, Rock Tavern, NY 12575-5419 Ph: (201) 364-8465 | Si Woo An, 3 Wild Turkey Ln, Rock Tavern, NY 12575-5419 Ph: (201) 364-8465 |
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