Chalee Yimyam, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" physician in San Diego, California. His current practice location is
34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(619) 524-1707.
Chalee Yimyam is licensed to practice in California (license number 5976) 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 1144756677.
Physician's Profile
| Full Name | Chalee Yimyam |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 34800 Bob Wilson Dr, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144756677
- Provider Enumeration Date: 05/03/2017
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557694395
- Enrollment ID: I20230809004128
Medical Identifiers
Medical identifiers for Chalee Yimyam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144756677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 5976 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3948 (Florida) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 11694035-0501 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | E5976 (California) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 5976 (California) | 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. Chalee Yimyam allows following entities to bill medicare on his behalf.
| Entity Name | University Of California San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897 |
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| Entity Name | University Of California Sfgh Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760457816
PECOS PAC ID: 5496668410
Enrollment ID: O20031229000429 |
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| Entity Name | Ucsf Dept Of Surgery |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839 |
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| Entity Name | Ucsf Medical Group Business Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513 |
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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. Chalee Yimyam 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 |
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Chalee Yimyam, DPM
330 13th St Apt 2207,
San Diego, CA 92101-4762
Ph: (253) 600-7330 | Chalee Yimyam, DPM
34800 Bob Wilson Dr,
San Diego, CA 92134-2205
Ph: (619) 524-1707 |
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