MARY CHAU TRAN PA-C NPI 1003001587

Physician Assistant (Surgical Technologist) in Syracuse, NY

About MARY TRAN

Mary Tran is a provider in Syracuse, NY with more than 12 years of experience. The NPI number assigned to this provider is 1003001587. The practitioner's primary taxonomy code is Physician Assistant (363AS0400X). The provider is registered as an individual and their NPI record was last updated 9 years ago. Mary Tran is registered with Medicare and accepts claims assignment.

NPI	1003001587 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	MARY CHAU TRAN PA-C
Provider Location Address	301 PROSPECT AVE SYRACUSE, NY 13203 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	8214 CICERO MILLS RD CICERO, NY 13039 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	OTHER
Graduation Year	2007
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-07-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	04-30-2009 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	363AS0400X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Physician Assistant
Type	Physician Assistants & Advanced Practice Nursing Providers
Specialization	Surgical Technologist
License No.	012657
License State	NY

Business Address

MARY CHAU TRAN PA-C
301 PROSPECT AVE
SYRACUSE, NY
ZIP 13203
Phone: (315) 448-5414

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Mailing Address

MARY CHAU TRAN PA-C
8214 CICERO MILLS RD
CICERO, NY
ZIP 13039
Phone: (315) 935-7916

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID	9234213760
PECOS Enrollment ID	I20160121002007
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Hospital Name	CMS Certification Number (CCN)
WATERBURY HOSPITAL	070005
CHARLOTTE HUNGERFORD HOSPITAL	070011

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
J400002540	MEDICARE PIN (08)	NY

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1003800236	JANET L ALLOWAY PA Individual	Physician Assistant (Medical)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5101
1104806322	DR. JAMES W. LEYHANE M.D. Individual	Hospitalist	301 PROSPECT AVE HOSPITAL INTERNISTS SYRACUSE, NY 13203 (315) 448-5704
1114919461	DR. QUN DONG M.D. Individual	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1174527097	MRS. HAILEY L DIANA CRNA Individual	Nurse Anesthetist, Certified Registered	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5440
1174584023	CHRIS R LABOUNTY MD Individual	Hospitalist	301 PROSPECT AVE MEDICAL EDUCATION SYRACUSE, NY 13203 (315) 448-5547
1235121575	ST. JOSEPH'S PATHOLOGY, PC Organization	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1235121583	DR. PATRICIA M SPIZUOCO M.D. Individual	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1235122425	PROSPECT HILL RADIOLOGY GROUP PC Organization	Radiology (Diagnostic Radiology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5274
1265424519	DR. KENT O HUSTAD M.D. Individual	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1467417493	HELEN M JACOBY MD Individual	Internal Medicine (Infectious Disease)	301 PROSPECT AVE INFECTIOUS DISEASE CONSULTANTS SYRACUSE, NY 13203 (315) 448-6253
1467445650	MR. SCOTT GREGORY CHANNELS RPA Individual	Physician Assistant	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5274
1528054210	NAEEM U HUMAYUN MBBS Individual	Hospitalist	301 PROSPECT AVE HOSPITAL INTERNISTS SYRACUSE, NY 13203 (315) 448-5704
1568431799	FELIPE DIAZ MD Individual		301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5704
1609868959	DR. RANDY J KALISH M.D. Individual	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1669464756	DR. JOSEPH G.P. ANG M.D. Individual	Radiology (Diagnostic Radiology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5274
1720062896	REBECCA GRANDY BROWN PA Individual	Physician Assistant (Surgical Technologist)	301 PROSPECT AVE CLINICAL AFFILIATES SYRACUSE, NY 13203 (315) 448-2876
1730171711	DR. DONALD HASWELL M.D. Individual	Radiology (Diagnostic Radiology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5274
1730171737	DR. SUSAN H LEESON M.D. Individual	Radiology (Diagnostic Radiology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5274
1811989189	DR. JAMES JOSEPH FLYNN M.D. Individual	Pathology (Anatomic Pathology & Clinical Pathology)	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5416
1821065301	TERESA J HOFFMANN CRNA Individual	Nurse Anesthetist, Certified Registered	301 PROSPECT AVE SYRACUSE, NY 13203 (315) 448-5440

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