Evangelina Chan, MSW,LCSW - Medicare Psychiatry & Neurology in Bridgeport, CT

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Evangelina Chan, MSW,LCSW is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Bridgeport, Connecticut. Her current practice location is 46 Albion St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 330-6000.

Evangelina Chan is licensed to practice in New York (license number 081696-1) 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 1245576248.

Contact Information

Evangelina Chan, MSW,LCSW
46 Albion St,
Bridgeport, CT 06605-2602
(203) 330-6000
(203) 330-6008

Map and Direction




Physician's Profile

Full NameEvangelina Chan
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location46 Albion St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245576248
  • Provider Enumeration Date: 12/19/2012
  • Last Update Date: 03/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850533878
  • Enrollment ID: I20180328002174

Medical Identifiers

Medical identifiers for Evangelina Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245576248NPI-NPPES
008301OtherCTLICENSE
004236148MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 081696-1 (New York)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. Evangelina Chan allows following entities to bill medicare on her behalf.
Entity NameHenry Street Settlement
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629172036
PECOS PAC ID: 2567354756
Enrollment ID: O20080201000428

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. Evangelina 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
Evangelina Chan, MSW,LCSW
4 W 125th St, Fl 2,
New York, NY 10027-4575

Ph: (212) 942-5615		Evangelina Chan, MSW,LCSW
46 Albion St,
Bridgeport, CT 06605-2602

Ph: (203) 330-6000

Reviews and Comments


Psychiatry & Neurology Doctors in Bridgeport, CT

Dr. Javier Lopez, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3897    Fax: 203-384-3950
Raj Kumari Bansal, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    
Dr. Vanja Kondev, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 340 Capitol Ave, Bridgeport, CT 06606
Phone: 203-367-5589    Fax: 203-330-0838
Dr. Reginald Anthony Hoffler, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1106 North Ave, Bridgeport, CT 06604
Phone: 203-579-6131    Fax: 203-382-8464
Dr. Anthony Louis Labruzza, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610
Phone: 203-551-7660    Fax: 203-551-7481
Joy Reyes, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3897    Fax: 203-384-3950
Dr. David Arthur Carlson, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610
Phone: 203-551-7660    Fax: 203-551-7481

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.