Jeffrey Chan, MD | |
8906 135th St, Suite 2t, Jamaica, NY 11418-2821 | |
(718) 206-7110 | |
(718) 206-7111 |
Full Name | Jeffrey Chan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 8906 135th St, Jamaica, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417918343 | NPI | - | NPPES |
01755004 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 206686 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jamaica Hospital Medical Center | Jamaica, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tjh Medical Services Pc | 8527960533 | 186 |
Entity Name | Tjh Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184670465 PECOS PAC ID: 8527960533 Enrollment ID: O20040121000802 |
Entity Name | Flushing Hospital & Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548217763 PECOS PAC ID: 2668367483 Enrollment ID: O20040219000415 |
Entity Name | Jamaica Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477505220 PECOS PAC ID: 2264324334 Enrollment ID: O20040427001519 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Chan, MD 80 Marcus Dr, Provider Enrollment, Melville, NY 11747-4230 Ph: (631) 391-7889 | Jeffrey Chan, MD 8906 135th St, Suite 2t, Jamaica, NY 11418-2821 Ph: (718) 206-7110 |
Dr. Ernst Severe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6000 | |
Stacey Joy Simmons, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Feliciano Rolando Pascal-simpson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-3225 Fax: 718-883-6193 | |
Jahangir Soltani, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 18005 Hillside Ave, Jamaica, NY 11432 Phone: 718-262-6300 Fax: 718-262-7045 | |
Kenneth Fretwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 Van Wyck Expressway, Surgical Suite 1st Floor, Jamaica, NY 11418 Phone: 718-206-7110 Fax: 718-206-7111 | |
Dr. Rebecca Lee, Surgery Medicare: Not Enrolled in Medicare Practice Location: 8900 Van Wyck Expy, Jamaica, NY 11418 Phone: 718-206-6290 | |
Dr. Allison Ruth Pescovitz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8268 164th St, Jamaica, NY 11432 Phone: 718-883-4640 |