JEAN-LUC THANH DOAN (PA-C) – Physician Assistant, NPI 1104336486
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
Provider Addresses for JEAN-LUC THANH DOAN (PA-C)
5 E 98th St Fl 8
New York, NY 100296501
Phone: (212) 241-8892
Type: Location
561 GATES AVE APT 5A
BROOKLYN, NY 112211280
Phone: (714) 462-7529
Type: Mailing
1001 G ST NW STE 200E
WASHINGTON, DC 200014546
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
East 98th Street, Brownsville, Brooklyn Community District 17, Brooklyn, Kings County, New York, 11212, United States
NEW YORK, NY 100296501
Phone: (212) 241-8892
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231201002275 | I | Physician Assistant | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 10029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| Physical Medicine And Rehabilitation | MD | |
| Internal Medicine | MD | |
| Internal Medicine | MA | |
| Anesthesiology, Interventional Pain Management, Pain Management, Physical Medicine And Rehabilitation, Pain Management, Physical Medicine And Rehabilitation, Interventional Pain Management, Anesthesiology | PA | |
| Internal Medicine, Medical Oncology, Hematology, Internal Medicine | ME | |
| Orthopedic Surgery | MD | |
| Internal Medicine | MD | |
| Nurse Practitioner | VA | |
| Internal Medicine | MD |
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