Dr Thomas Chaly Jr, MD is a medicare enrolled "Transplant Surgery" physician in Phoenix, Arizona. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Arizona Transplant Associates Pc, St. Joseph's Hospital And Medical Center and his current practice location is
2218 N 3rd St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 252-2543.
Dr Thomas Chaly Jr is licensed to practice in Arizona (license number 54237) 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 1558525741.
Physician's Profile
| Full Name | Dr Thomas Chaly Jr |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 17 Years |
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| Location | 2218 N 3rd St, Phoenix, Arizona |
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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 Thomas Chaly Jr graduated from medical school in 2007
NPI Data:
- NPI Number: 1558525741
- Provider Enumeration Date: 07/16/2008
- Last Update Date: 02/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880830918
- Enrollment ID: I20170822004156
Medical Identifiers
Medical identifiers for Dr Thomas Chaly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558525741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | GETP.TUL.SURG (Louisiana) | Secondary |
| 204F00000X | Transplant Surgery | 54237 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arizona Transplant Associates Pc | 3971587742 | 5 |
| St. Joseph's Hospital And Medical Center | 6709863178 | 25 |
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 Thomas Chaly Jr allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Transplant Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447344908
PECOS PAC ID: 3971587742
Enrollment ID: O20040617001110 |
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| Entity Name | St. Joseph's Hospital And Medical Center C/o Dignity Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255382412
PECOS PAC ID: 6709863178
Enrollment ID: O20040702000601 |
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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 Thomas Chaly Jr 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 Thomas Chaly Jr, MD
2218 N 3rd St,
Phoenix, AZ 85004-1401
Ph: (602) 252-2543 | Dr Thomas Chaly Jr, MD
2218 N 3rd St,
Phoenix, AZ 85004-1401
Ph: (602) 252-2543 |
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