Addison Chan, in Modesto, CA - Medicare Emergency Medicine

Addison Chan, is a medicare enrolled "Emergency Medicine" physician in Modesto, California. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northeast Texas Emergency Physicians Pllc and his current practice location is 1700 Coffee Rd, Emergency Department, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 526-4500.

Addison Chan is licensed to practice in Pennsylvania (license number OS022272) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568791994.

Contact Information

	Addison Chan,
	1700 Coffee Rd, Emergency Department, Modesto, CA 95355-2803
	(209) 526-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Addison Chan
Gender	Male
Speciality	Emergency Medicine
Experience	18 Years
Location	1700 Coffee Rd, Modesto, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Addison Chan graduated from medical school in 2006

NPI Data:

NPI Number: 1568791994
Provider Enumeration Date: 12/14/2009
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8729272216
Enrollment ID: I20190104001362

Medical Identifiers

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

Identifier	Type	State	Issuer
1568791994	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	R7410 (Texas)	Secondary
207P00000X	Emergency Medicine	20A11051 (California)	Secondary
207P00000X	Emergency Medicine	OS022272 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi St Alexius Health Dickinson	Dickinson, ND	Hospital
Christus St Michael Health System	Texarkana, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Texas Emergency Physicians Pllc	8527420306	138

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. Addison Chan allows following entities to bill medicare on his behalf.

Entity Name	Acute Care Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740655273 PECOS PAC ID: 6800190364 Enrollment ID: O20160204000716

Entity Name	Integrative Emergency Services Physician Group-houston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208

Entity Name	Northeast Texas Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225

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. Addison 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
Addison Chan, 4012 Wild Poppy Ct, Modesto, CA 95356-8793 Ph: (831) 239-8371	Addison Chan, 1700 Coffee Rd, Emergency Department, Modesto, CA 95355-2803 Ph: (209) 526-4500

Reviews and Comments

Emergency Medicine Doctors in Modesto, CA

John Joseph Gallo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Pallavi Sharma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Phillip Michael Chan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350 Phone: 650-388-6383
Dr. Paul Anthony Raykov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000
Gregory P. Bowerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7600
Christopher Samuel Lau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-6810
Sushma V Shah, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4301 N Star Way, Modesto, CA 95356 Phone: 209-342-2300 Fax: 209-524-4240

Addison Chan, - Medicare Emergency Medicine in Modesto, CA