| Dr Lung Kang Tan, DPM | |
|
5202 Faraon St Ste A, Saint Joseph, MO 64506-3840 | |
| (816) 271-1067 | |
| (816) 271-1071 |
| Full Name | Dr Lung Kang Tan |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 22 Years |
| Location | 5202 Faraon St Ste A, Saint Joseph, 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 |
|---|---|---|---|
| 1205862778 | NPI | - | NPPES |
| 301208005 | Medicaid | MO | |
| P00353075 | Other | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 2004035104 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heartland Regional Medical Center | 6709772767 | 343 |
| Provider Name | Heartland Regional Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Provider Name | Mosaic Medical Center - Maryville |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lung Kang Tan, DPM 5301 Faraon St Ste 120, Saint Joseph, MO 64506-3800 Ph: (816) 271-1067 | Dr Lung Kang Tan, DPM 5202 Faraon St Ste A, Saint Joseph, MO 64506-3840 Ph: (816) 271-1067 |
Dr. Phillip Anthony Lipira, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
St Joseph Foot Clinic Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Dr. Russell Scott Grimes, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1005 W Saint Maartens Dr Ste A, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Phillip A Lipira Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 | |
Dr. Larry William Piper, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1005a W Saint Maartens Dr, Saint Joseph, MO 64506 Phone: 816-364-2338 Fax: 816-364-1003 |