Dr Samantha Mimi Chang, MD in Fargo, ND - Medicare Family Medicine

Dr Samantha Mimi Chang, MD is a medicare enrolled "Family Medicine" physician in Fargo, North Dakota. Her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Dr Samantha Mimi Chang is licensed to practice in North Dakota (license number RL16638) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891310850.

Contact Information

	Dr Samantha Mimi Chang, MD
	801 Broadway N, Fargo, ND 58102-3641
	(701) 234-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samantha Mimi Chang
Gender	Female
Speciality	Family Medicine
Location	801 Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891310850
Provider Enumeration Date: 06/15/2020
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0446611982
Enrollment ID: I20230801002099

Medical Identifiers

Medical identifiers for Dr Samantha Mimi Chang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891310850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	RL16638 (North Dakota)	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 Samantha Mimi Chang allows following entities to bill medicare on her behalf.

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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 Samantha Mimi Chang 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 Samantha Mimi Chang, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000	Dr Samantha Mimi Chang, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000

Reviews and Comments

Family Medicine Doctors in Fargo, ND

Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950
Hadeer Saleh Eltahan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58102 Phone: 701-234-6076 Fax: 701-234-7230
Megan Harrington, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000

Dr Samantha Mimi Chang, MD - Medicare Family Medicine in Fargo, ND