Miss Fong Chan, MSW | |
1040 Waltham St, Lexington, MA 02421-8033 | |
(781) 862-3600 | |
(781) 863-5903 |
Full Name | Miss Fong Chan |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 16 Years |
Location | 1040 Waltham St, Lexington, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336479914 | NPI | - | NPPES |
99618201 | Other | MA | NETWORK HEALTH |
0000023532 | Other | MA | BMC |
042611055 | Other | MA | TAX ID |
1303287 | Medicaid | MA | |
M18633 | Other | MA | BCBS |
1303287 | Other | MA | MBHP |
1004745 | Other | MA | NHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Edinburg Center Inc | 4486681087 | 9 |
Entity Name | Edinburg Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073617353 PECOS PAC ID: 4486681087 Enrollment ID: O20060503000404 |
Mailing Address | Practice Location Address |
---|---|
Miss Fong Chan, MSW 1040 Waltham St, Lexington, MA 02421-8033 Ph: (781) 862-3600 | Miss Fong Chan, MSW 1040 Waltham St, Lexington, MA 02421-8033 Ph: (781) 862-3600 |
Ms. Magi Mckinnies, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Fletcher Ave, Lexington, MA 02420 Phone: 781-860-0620 | |
Denise Moyo, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 781-761-5165 | |
Michael Levi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Waltham St, Lexington, MA 02421 Phone: 339-707-0232 | |
Mr. Kyle Combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 774-262-2868 | |
Angeliki Constantine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 | |
Emma Clay, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 Fax: 781-592-0581 | |
Kate Mcgrath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 |