Bryan Pui Wang Chan, MD is a medicare enrolled "Family Medicine" provider in Upland, California. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Family Practice. His current practice location is
980 E Foothill Blvd, Ste 104, Upland, California. You can reach out to his office (for appointments etc.) via phone at
(909) 920-3578.
Bryan Pui Wang Chan is licensed to practice in California (license number A48504) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417059957.
Healthcare Provider's Profile
| Full Name | Bryan Pui Wang Chan |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 45 Years |
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| Location | 980 E Foothill Blvd, Upland, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bryan Pui Wang Chan graduated from medical school in 1979
NPI Data:
- NPI Number: 1417059957
- Provider Enumeration Date: 09/04/2006
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799973384
- Enrollment ID: I20101227000162
Medical Identifiers
Medical identifiers for Bryan Pui Wang Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417059957 | NPI | - | NPPES |
| 00A485040 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | AC 7887 (California) | Secondary |
| 175L00000X | Homeopath | 9007 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | A48504 (California) | Primary |
Medical Facilities Affiliation
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Pui Wang Chan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bryan Pui Wang Chan, MD
980 E Foothill Blvd, Ste 104,
Upland, CA 91786
Ph: (909) 920-3578 | Bryan Pui Wang Chan, MD
980 E Foothill Blvd, Ste 104,
Upland, CA 91786
Ph: (909) 920-3578 |
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