Dr Wilson Chan, DMD in Philadelphia, PA - Medicare Dentist Provider

Dr Wilson Chan, DMD is a medicare enrolled "Dentist - General Practice" provider in Philadelphia, Pennsylvania. His current practice location is 1207 Chestnut St 4th Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 525-3046.

Dr Wilson Chan is licensed to practice in Pennsylvania (license number DS041841) 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 1952830002.

Contact Information

	Dr Wilson Chan, DMD
	1207 Chestnut St 4th Floor, Philadelphia, PA 19107-4131
	(215) 525-3046
	(215) 567-1617

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Wilson Chan
Gender	Male
Speciality	Dentist - General Practice
Location	1207 Chestnut St 4th Floor, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952830002
Provider Enumeration Date: 06/11/2017
Last Update Date: 01/06/2020

Medicare PECOS Information:

PECOS PAC ID: 2466785621
Enrollment ID: I20190604001098

Medical Identifiers

Medical identifiers for Dr Wilson Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952830002	NPI	-	NPPES
1036229380001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DS041841 (Pennsylvania)	Secondary
1223G0001X	Dentist - General Practice	DS041841 (Pennsylvania)	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. Dr Wilson Chan allows following entities to bill medicare on his behalf.

Entity Name	Philadelphia Fight
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760507859 PECOS PAC ID: 9032010319 Enrollment ID: O20040119000746

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 Wilson 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
Dr Wilson Chan, DMD 1233 Locust St Fl 3, Philadelphia, PA 19107-5400 Ph: (215) 985-4448	Dr Wilson Chan, DMD 1207 Chestnut St 4th Floor, Philadelphia, PA 19107-4131 Ph: (215) 525-3046

Reviews and Comments

Dentist in Philadelphia, PA

Mr. Kevin John Klatte, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6814 Castor Ave, Philadelphia, PA 19149 Phone: 215-745-9443 Fax: 215-745-9453
Dr. Jeffrey Marc Weiner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3254 Red Lion Rd, Philadelphia, PA 19114 Phone: 215-632-1612 Fax: 215-632-3221
John Paul Friel Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 3223 N Broad St, Philadelphia, PA 19140 Phone: 215-707-0115
Dr. Thomas Anthony Langan Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8201 Henry Ave Apt P35, Philadelphia, PA 19128 Phone: 267-702-5413
Christina Maragakes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9898 Roosevelt Blvd Ste 107, Philadelphia, PA 19115 Phone: 267-885-8881
Dr. Samantha Slutsky, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5597 Tulip St Ste B4, Philadelphia, PA 19124 Phone: 215-344-7400
Maria Salib, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-282-8000

Dr Wilson Chan, DMD - Medicare Dentist in Philadelphia, PA