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STACEY PAN MD
NPI 1902433907
Internal Medicine - Hematology & Oncology in Boston, MA

Active since March 27, 2020PECOS Enrolled
800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5246(617) 636-7119 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2023, Jun 20, 2020, Mar 27, 2020 (3 updates tracked since 2020).

About Stacey Pan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY PAN MD (NPI 1902433907) is an individual hematology & oncology provider in Boston, Massachusetts, licensed in Massachusetts (284753) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902433907
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSTACEY PANCredential: MD
Location Address800 WASHINGTON STBoston, MA 02111-1552
Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5000 · Fax (617) 636-7119
Phone(617) 636-5246
Fax(617) 636-7119
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1902433907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 284753
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
800 WASHINGTON ST, Boston, MA 02111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Pan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DICKSTEIN M.D.
Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Suffolk County (617) 636-5883
THOMAS E BIGELOW
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Suffolk County (617) 636-5857
SARAH MERRIMAN PERSING M.D.
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
DR. SHARANYA MOHANTY M.D.
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5000
AFRAH SADIQ SAIT MOHAMMED M.D.
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (718) 629-7204
ADNAN SALIM QAMAR MD
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-5829
ALICIA SIGIA WU MD
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-1619
ZEANAARONEVAN ANDRES LUNA
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Suffolk County (617) 636-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Pan's NPI number?

The NPI number for Stacey Pan is 1902433907. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Stacey Pan located?

Stacey Pan practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-5246.

What is Stacey Pan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Stacey Pan enrolled in Medicare?

Yes. Stacey Pan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Pan was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.