Dr Patrick Kiu Tao Chan, DMD - Medicare Dentist in Boston, MA

Dr Patrick Kiu Tao Chan, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Boston, Massachusetts. His current practice location is 136 Lincoln St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 451-2111.

Dr Patrick Kiu Tao Chan is licensed to practice in Massachusetts (license number 20034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780722017.

Contact Information

Dr Patrick Kiu Tao Chan, DMD
136 Lincoln St,
Boston, MA 02111-2506
(617) 451-2111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Patrick Kiu Tao Chan
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location136 Lincoln St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780722017
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 04/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8022255686
  • Enrollment ID: I20130520000255

Medical Identifiers

Medical identifiers for Dr Patrick Kiu Tao Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780722017NPI-NPPES
405764200MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 049683 (New York)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 20034 (Massachusetts)Primary

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. Dr Patrick Kiu Tao 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 AddressPractice Location Address
Dr Patrick Kiu Tao Chan, DMD
136 Lincoln St,
Boston, MA 02111-2506

Ph: (617) 451-2111
Dr Patrick Kiu Tao Chan, DMD
136 Lincoln St,
Boston, MA 02111-2506

Ph: (617) 451-2111

Reviews and Comments


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