400 SAYBROOK RD STE 205
MIDDLETOWN, CT 06457-4775 US PECOS Enrolled
Overview
Mary Chau Tran is a Physician Assistant in the MIDDLETOWN area. Mary Chau Tran primary office location is at 400 SAYBROOK RD STE 205 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003001587 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 012657 | NY |
| 3091 | CT |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Physician Assistant - Taxonomy Code 363A00000X | CT | Y |
| Physician Assistant (Surgical) - Taxonomy Code 363AS0400X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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