Ethan Chang, DO in Newcastle, WA - Medicare Family Medicine

Ethan Chang, DO is a medicare enrolled "Family Medicine" physician in Newcastle, Washington. His current practice location is 7203 129th Ave Se Ste 100, Newcastle, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 690-3455.

Ethan Chang is licensed to practice in Washington (license number OP61311708) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578004131.

Contact Information

	Ethan Chang, DO
	7203 129th Ave Se Ste 100, Newcastle, WA 98056-1412
	(425) 690-3455
	(425) 690-9455

Map and Direction

Physician's Profile

Full Name	Ethan Chang
Gender	Male
Speciality	Family Medicine
Location	7203 129th Ave Se Ste 100, Newcastle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578004131
Provider Enumeration Date: 03/16/2017
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7113340597
Enrollment ID: I20230928003938

Medical Identifiers

Medical identifiers for Ethan Chang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578004131	NPI	-	NPPES
2160428	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OP61311708 (Washington)	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. Ethan Chang allows following entities to bill medicare on his behalf.

Entity Name	Valley Medical Group-renton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

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. Ethan 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
Ethan Chang, DO 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715	Ethan Chang, DO 7203 129th Ave Se Ste 100, Newcastle, WA 98056-1412 Ph: (425) 690-3455

Reviews and Comments

Family Medicine Doctors in Newcastle, WA

Leticia Ayala Maragh, ML Family Medicine Medicare: Medicare Enrolled Practice Location: 7203 129th Ave Se, Newcastle, WA 98056 Phone: 425-656-5406 Fax: 425-656-5040
James E Park, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7203 129th Ave Se, Ste 100, Newcastle, WA 98056 Phone: 425-656-5406
Tess Caroline Lang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7203 129th Ave Se Ste 100, Newcastle, WA 98056 Phone: 425-690-3455 Fax: 425-690-9455
Heather D Chibambo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7203 129th Ave Se, Ste 100, Newcastle, WA 98056 Phone: 425-656-5406 Fax: 425-656-5040
Angela J Zhang, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7203 129th Ave Se Ste 100, Newcastle, WA 98056 Phone: 425-690-3455 Fax: 425-690-9455
Shawn Akavan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7203 129th Ave Se, Ste 200, Newcastle, WA 98056 Phone: 425-656-5590 Fax: 425-656-5591

Ethan Chang, DO - Medicare Family Medicine in Newcastle, WA