Dr Benjamin Russell Chan, MD in Salt Lake City, UT - Medicare Psychiatry & Neurology

Dr Benjamin Russell Chan, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Salt Lake City, Utah. His current practice location is 650 Komas Dr, Suite 200, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-5515.

Dr Benjamin Russell Chan is licensed to practice in Virginia (license number 0101240110) 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 1952528374.

Contact Information

	Dr Benjamin Russell Chan, MD
	650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215
	(801) 581-5515
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Benjamin Russell Chan
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	650 Komas Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952528374
Provider Enumeration Date: 04/19/2007
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 9133245590
Enrollment ID: I20100923000491

Medical Identifiers

Medical identifiers for Dr Benjamin Russell Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952528374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0101240110 (Virginia)	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. Dr Benjamin Russell Chan allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Dr Benjamin Russell 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
Dr Benjamin Russell Chan, MD 2145 Hannibal St, Salt Lake City, UT 84106-4101 Ph: (801) 581-5515	Dr Benjamin Russell Chan, MD 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 Ph: (801) 581-5515

Reviews and Comments

Psychiatry & Neurology Doctors in Salt Lake City, UT

Dr. Eric Thayne Monson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Dr. Gerald Martin Lazar, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2005 E 2700 S, Suite 180, Salt Lake City, UT 84109 Phone: 801-746-2297 Fax: 801-322-3890
Muharrem B. Baytunca, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-4096
Leah M. Fortson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Huntsman Mental Health Institute, 501 Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-4096
Christopher R. Sweeney, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-7951 Fax: 801-581-5604
Norman L. Foster, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-6387
Dr. Amy Gallop Weagley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 S Chipeta Way, Salt Lake City, UT 84108 Phone: 801-581-2121

Dr Benjamin Russell Chan, MD - Medicare Psychiatry & Neurology in Salt Lake City, UT