Dr Keith Ted Chan, MD in Tacoma, WA - Medicare Diagnostic Radiology

Dr Keith Ted Chan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tacoma, Washington. He went to Stanford University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Vantage Radiology And Diagnostic Services, A Professional Services Cor and his current practice location is 1304 Fawcett Ave Ste 100, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 761-4200.

Dr Keith Ted Chan is licensed to practice in Washington (license number MD60384220) 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 1295001972.

Contact Information

	Dr Keith Ted Chan, MD
	1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900
	(253) 761-4200
	(253) 761-4201

Map and Direction

Physician's Profile

Full Name	Dr Keith Ted Chan
Gender	Male
Speciality	Diagnostic Radiology
Experience	13 Years
Location	1304 Fawcett Ave Ste 100, Tacoma, Washington
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:

Dr Keith Ted Chan attended and graduated from Stanford University School Of Medicine in 2011

NPI Data:

NPI Number: 1295001972
Provider Enumeration Date: 03/28/2012
Last Update Date: 10/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3870813173
Enrollment ID: I20170706002789

Medical Identifiers

Medical identifiers for Dr Keith Ted Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295001972	NPI	-	NPPES
2019235	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	ML 60286792 (Washington)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD60384220 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD60384220 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Valley Medical Center	Renton, WA	Hospital
Multicare Auburn Medical Center	Auburn, WA	Hospital
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vantage Radiology And Diagnostic Services, A Professional Services Cor	8224937917	37

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 Keith Ted Chan allows following entities to bill medicare on his behalf.

Entity Name	Vantage Radiology & Diagnostic Services, A Professional Services Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245230598 PECOS PAC ID: 8224937917 Enrollment ID: O20031231000620

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 Keith Ted 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 Keith Ted Chan, MD 533 S 336th St Ste C, Federal Way, WA 98003-6329 Ph: (253) 661-1700	Dr Keith Ted Chan, MD 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 Ph: (253) 761-4200

Reviews and Comments

Radiology Doctors in Tacoma, WA

Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553

Dr Keith Ted Chan, MD - Medicare Diagnostic Radiology in Tacoma, WA