Conner Chan, MD is a medicare enrolled "Dermatology" physician in Baytown, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Baytown Dermatology Pa and his current practice location is
3730 Emmett Hutto Blvd, Baytown, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 425-9375.
Conner Chan is licensed to practice in Texas (license number P2424) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962669515.
Physician's Profile
| Full Name | Conner Chan |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 16 Years |
|---|
| Location | 3730 Emmett Hutto Blvd, Baytown, Texas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Conner Chan attended and graduated from University Of Texas Medical Branch At Galveston in 2008
NPI Data:
- NPI Number: 1962669515
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 05/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941465033
- Enrollment ID: I20120621000701
Medical Identifiers
Medical identifiers for Conner Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962669515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | P2424 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baytown Dermatology Pa | 7810899580 | 2 |
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. Conner Chan allows following entities to bill medicare on his behalf.
| Entity Name | Baytown Dermatology Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1033325550
PECOS PAC ID: 7810899580
Enrollment ID: O20040122001157 |
|---|
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. Conner 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 |
|---|
Conner Chan, MD
3730 Emmett Hutto Blvd,
Baytown, TX 77521-1764
Ph: (281) 425-9375 | Conner Chan, MD
3730 Emmett Hutto Blvd,
Baytown, TX 77521-1764
Ph: (281) 425-9375 |
Reviews and Comments