Charles Chen, MD in Evanston, IL - Medicare Internal Medicine

Charles Chen, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Im Hospitalists Ste 4210, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-1010.

Charles Chen is licensed to practice in New Jersey (license number 25MA11130600) 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 1588190003.

Contact Information

	Charles Chen, MD
	2650 Ridge Ave, Im Hospitalists Ste 4210, Evanston, IL 60201-1718
	(847) 570-1010
	(847) 733-5108

Map and Direction

Physician's Profile

Full Name	Charles Chen
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588190003
Provider Enumeration Date: 05/03/2017
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3678842390
Enrollment ID: I20200520000949

Medical Identifiers

Medical identifiers for Charles Chen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588190003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036152950 (Illinois)	Secondary
208M00000X	Hospitalist	036152950 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	25MA11130600 (New Jersey)	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. Charles Chen allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Charles Chen 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
Charles Chen, MD 2650 Ridge Ave, Im Hospitalists Ste 4210, Evanston, IL 60201-1718 Ph: (847) 570-1010	Charles Chen, MD 2650 Ridge Ave, Im Hospitalists Ste 4210, Evanston, IL 60201-1718 Ph: (847) 570-1010

Reviews and Comments

Internal Medicine Doctors in Evanston, IL

James Francis Kelly, DO Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Im Hospitalists Ste 4206, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Ashley Rachel Mohan, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Im/icu Hospitalists, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Andie Kwon, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201 Phone: 847-570-2700 Fax: 847-570-2822
Adela Kola, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 4210, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5108
Matthew R. Sherwood, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Division Of Internal Medicine Rm 4324, Evanston, IL 60201 Phone: 847-570-1010 Fax: 847-733-5128
Dipika Oberoi, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2700
Neal N. Dodia, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3171

Charles Chen, MD - Medicare Internal Medicine in Evanston, IL