Dr Wallen Cy Chan, MD - Medicare Gastroenterology in Staten Island, NY

Dr Wallen Cy Chan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Staten Island, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1989 and has 35 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Amboy Medical Practice, P.c. and his current practice location is 78 Todt Hill Rd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 448-1122.

Dr Wallen Cy Chan is licensed to practice in New York (license number 183203) 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 1043287857.

Contact Information

Dr Wallen Cy Chan, MD
78 Todt Hill Rd,
Staten Island, NY 10314-4528
(718) 448-1122
(718) 448-8318

Map and Direction




Physician's Profile

Full NameDr Wallen Cy Chan
GenderMale
SpecialityGastroenterology
Experience35 Years
Location78 Todt Hill Rd, Staten Island, New York
Accepts Medicare AssignmentsYes. 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 Wallen Cy Chan attended and graduated from Icahn School Of Medicine At Mount Sinai in 1989
  NPI Data:
  • NPI Number: 1043287857
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 04/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3971515040
  • Enrollment ID: I20060608000278

Medical Identifiers

Medical identifiers for Dr Wallen Cy Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043287857NPI-NPPES
01768538MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 183203 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Richmond University Medical CenterStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amboy Medical Practice, P.c.2860538170131

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 Wallen Cy Chan allows following entities to bill medicare on his behalf.
Entity NameRichard A. Fazio Md, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447303128
PECOS PAC ID: 1153210570
Enrollment ID: O20060126000308
Entity NameAmboy Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700037975
PECOS PAC ID: 2860538170
Enrollment ID: O20090930000024

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 Wallen Cy 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 AddressPractice Location Address
Dr Wallen Cy Chan, MD
4 Airdale Dr,
Kendall Park, NJ 08824-1494

Ph: (718) 448-1122
Dr Wallen Cy Chan, MD
78 Todt Hill Rd,
Staten Island, NY 10314-4528

Ph: (718) 448-1122

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.