institution
Richard T.c. Wan, M.d. ,psc
Preferred Provider Organization in Morgantown, Kentucky
NPI 1104996776

Richard T.c. Wan, M.d. ,psc is a Preferred Provider Organization based in Morgantown, KY. Richard T.c. Wan, M.d. ,psc practices in Morgantown, KY. The NPI Number for Richard T.c. Wan, M.d. ,psc is 1104996776 and holds a License No. 16599 (Kentucky).

The current practice location address for Richard T.c. Wan, M.d. ,psc is 101 W Roberts St, Morgantown, KY and can be reached out via phone at 270-526-3841 and via fax at 270-526-2651. You can also correspond with Richard T.c. Wan, M.d. ,psc through the mailing address at PO BOX 129, MORGANTOWN, KY - 42261-0129 (mailing address contact number: 270-526-3841).

Location: 101 W Roberts St, Morgantown, KY, 42261-0129
institution
Provider Profile Details
NPI Number
1104996776
Provider Name
Richard T.c. Wan, M.d. ,psc
Credential
Provider Entity Type
Organization
Address
101 W Roberts St, Morgantown, KY, 42261-0129
Phone Number
270-526-3841
Fax Number
270-526-2651
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65902033 05 KY
18DO326142 01 KY CLIA
000000045886 01 KY BCBS
institution
Provider Business Practice Location Address Details
Address
101 W Roberts St
City
State
Zip
42261-7942
Phone Number
270-526-3841
Fax Number
270-526-2651
person
Provider Business Mailing Address Details
Address
101 W Roberts St
City
State
Zip
42261-7942
Phone Number
270-526-3841
Fax Number
270-526-2651
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
License No.
16599 (Kentucky)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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