Ms Wai Wun Diana Chan, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bainbridge Island, Washington. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
793 Ericksen Ave Ne Ste 123, Bainbridge Island, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 207-5375.
Ms Wai Wun Diana Chan is licensed to practice in Washington (license number LW 60193264) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952552309.
Healthcare Provider's Profile
| Full Name | Ms Wai Wun Diana Chan |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 793 Ericksen Ave Ne Ste 123, Bainbridge Island, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Wai Wun Diana Chan graduated from medical school in 2007
NPI Data:
- NPI Number: 1952552309
- Provider Enumeration Date: 10/03/2008
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 5799099818
- Enrollment ID: I20150804003092
Medical Identifiers
Medical identifiers for Ms Wai Wun Diana Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952552309 | NPI | - | NPPES |
| 2048825 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LW60193264 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | LW60193264 (Washington) | Secondary |
| 104100000X | Social Worker | LW60193264 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW 60193264 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Wai Wun Diana Chan allows following entities to bill medicare on her behalf.
| Entity Name | Diana Chan Counseling Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679967186
PECOS PAC ID: 8628383395
Enrollment ID: O20150811004133 |
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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. Ms Wai Wun Diana 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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Ms Wai Wun Diana Chan, MSW, LICSW
793 Ericksen Ave Ne Ste 123,
Bainbridge Island, WA 98110-1877
Ph: (206) 207-5375 | Ms Wai Wun Diana Chan, MSW, LICSW
793 Ericksen Ave Ne Ste 123,
Bainbridge Island, WA 98110-1877
Ph: (206) 207-5375 |
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