Chiwai E Chan, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fountain Valley, California. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2000 and has 24 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
11160 Warner Ave, 417, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at
(714) 424-9300.
Chiwai E Chan is licensed to practice in California (license number 20A8068) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629051529.
Physician's Profile
| Full Name | Chiwai E Chan |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 24 Years |
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| Location | 11160 Warner Ave, Fountain Valley, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chiwai E Chan attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2000
NPI Data:
- NPI Number: 1629051529
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981630811
- Enrollment ID: I20061207000483
Medical Identifiers
Medical identifiers for Chiwai E Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629051529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 4242 (Arizona) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 20A8068 (California) | Primary |
Medical Facilities Affiliation
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. Chiwai E Chan allows following entities to bill medicare on his behalf.
| Entity Name | Pain Medicine Specialty Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770624702
PECOS PAC ID: 2365441920
Enrollment ID: O20061207000479 |
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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. Chiwai E 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 |
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Chiwai E Chan, DO
11160 Warner Ave, 417,
Fountain Valley, CA 92708-8703
Ph: (714) 424-9300 | Chiwai E Chan, DO
11160 Warner Ave, 417,
Fountain Valley, CA 92708-4008
Ph: (714) 424-9300 |
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