Andrea M Chao, MD is a medicare enrolled "Pediatrics" physician in Lodi, Wisconsin. Her current practice location is
160 Valley Dr, Lodi, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 592-3296.
Andrea M Chao is licensed to practice in Wisconsin (license number 41860) 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 1124085584.
Physician's Profile
Full Name | Andrea M Chao |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 160 Valley Dr, Lodi, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124085584
- Provider Enumeration Date: 04/28/2006
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072526458
- Enrollment ID: I20060802000093
Medical Identifiers
Medical identifiers for Andrea M Chao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124085584 | NPI | - | NPPES |
32635400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 41860 (Wisconsin) | 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. Andrea M Chao allows following entities to bill medicare on her behalf.
Entity Name | Sauk Prairie Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
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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. Andrea M Chao 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 |
Andrea M Chao, MD 160 Valley Dr, Lodi, WI 53555-1464 Ph: (608) 592-3296 | Andrea M Chao, MD 160 Valley Dr, Lodi, WI 53555-1464 Ph: (608) 592-3296 |
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