Dr Chandler Vimal Mohan, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Lake City, Florida. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
4812 W Us Highway 90, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 466-1106.
Dr Chandler Vimal Mohan is licensed to practice in Virginia (license number 0101243179) 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 1629239561.
Physician's Profile
| Full Name | Dr Chandler Vimal Mohan |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 24 Years |
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| Location | 4812 W Us Highway 90, Lake City, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chandler Vimal Mohan graduated from medical school in 2000
NPI Data:
- NPI Number: 1629239561
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 6406920362
- Enrollment ID: I20110223001139
Medical Identifiers
Medical identifiers for Dr Chandler Vimal Mohan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629239561 | NPI | - | NPPES |
| 1629239561 | Medicaid | VA | |
| 002878500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 0101243179 (Virginia) | Primary |
| 208D00000X | General Practice | 0101243179 (Virginia) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME101708 (Florida) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | ME101708 (Florida) | Secondary |
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. Dr Chandler Vimal Mohan allows following entities to bill medicare on his behalf.
| Entity Name | Emory Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598926263
PECOS PAC ID: 2466633441
Enrollment ID: O20110223001110 |
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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. Dr Chandler Vimal Mohan 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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Dr Chandler Vimal Mohan, MD
Po Box 1646,
Lake City, FL 32056-1646
Ph: (386) 466-1106 | Dr Chandler Vimal Mohan, MD
4812 W Us Highway 90,
Lake City, FL 32055-5126
Ph: (386) 466-1106 |
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