Dr Enoch Chung Chan, MD is a medicare enrolled "Internal Medicine" physician in Bohemia, New York. He went to New York Medical College and graduated in 1993 and has 31 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Outreach Development Corporation and his current practice location is
1461 Lakeland Ave Unit 14, Bohemia, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 218-8800.
Dr Enoch Chung Chan is licensed to practice in New York (license number 200300) 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 1356309603.
Physician's Profile
| Full Name | Dr Enoch Chung Chan |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 31 Years |
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| Location | 1461 Lakeland Ave Unit 14, Bohemia, New York |
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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 Enoch Chung Chan attended and graduated from New York Medical College in 1993
NPI Data:
- NPI Number: 1356309603
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 08/28/2008
Medicare PECOS Information:
- PECOS PAC ID: 3678558038
- Enrollment ID: I20040621000604
Medical Identifiers
Medical identifiers for Dr Enoch Chung Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356309603 | NPI | - | NPPES |
| 1356309603 | Other | NY | UNITED HEALTHCARE |
| 01837470 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 200300 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Outreach Development Corporation | 1355323270 | 4 |
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 Enoch Chung Chan allows following entities to bill medicare on his behalf.
| Entity Name | Outreach Development Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083717326
PECOS PAC ID: 1355323270
Enrollment ID: O20040603001529 |
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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 Enoch Chung 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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Dr Enoch Chung Chan, MD
1461 Lakeland Ave Unit 14,
Bohemia, NY 11716-2174
Ph: (631) 218-8800 | Dr Enoch Chung Chan, MD
1461 Lakeland Ave Unit 14,
Bohemia, NY 11716-2174
Ph: (631) 218-8800 |
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