Alisa Chanchenchop, DO in Laurys Station, PA

Alisa Chanchenchop, DO is a medicare enrolled "Pediatrics" physician in Laurys Station, Pennsylvania. Her current practice location is 5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 262-6641.

Alisa Chanchenchop is licensed to practice in Pennsylvania (license number OS023067) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780207761.

Contact Information

	Alisa Chanchenchop, DO
	5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124
	(610) 262-6641
	Not Available

Map and Direction

Physician's Profile

Full Name	Alisa Chanchenchop
Gender	Female
Speciality	Pediatrics
Location	5649 Wynnewood Dr Ste 104, Laurys Station, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780207761
Provider Enumeration Date: 05/25/2020
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4183078173
Enrollment ID: I20230925002486

Medical Identifiers

Medical identifiers for Alisa Chanchenchop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780207761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OT020151 (Pennsylvania)	Secondary
208000000X	Pediatrics	OS023067 (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. Alisa Chanchenchop allows following entities to bill medicare on her behalf.

Entity Name	Lehigh Valley Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335

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. Alisa Chanchenchop 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
Alisa Chanchenchop, DO 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: () -	Alisa Chanchenchop, DO 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059-1124 Ph: (610) 262-6641

Reviews and Comments

Pediatrics Doctors in Laurys Station, PA

Dr. Barbara Levin Katz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428
Colleen Mccamant Fitzpatrick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428
Nicole Zeiner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6647
Dr. Brian Fuller, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641 Fax: 610-262-0428
Viktoriya Wolfe, Pediatrics Medicare: Medicare Enrolled Practice Location: 5649 Wynnewood Dr Ste 104, Laurys Station, PA 18059 Phone: 610-262-6641

Alisa Chanchenchop, DO - Medicare Pediatrics in Laurys Station, PA