Lawrence Edwin Chance Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Shiprock, New Mexico. His current practice location is
Us Hwy 491 North, Northern Navajo Medical Center, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 368-6001.
Lawrence Edwin Chance Jr is licensed to practice in Alaska (license number 3780) 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 1952452492.
Physician's Profile
Full Name | Lawrence Edwin Chance Jr |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | Us Hwy 491 North, Shiprock, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952452492
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 03/31/2008
Medicare PECOS Information:
- PECOS PAC ID: 9133138464
- Enrollment ID: I20060414000096
Medical Identifiers
Medical identifiers for Lawrence Edwin Chance Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952452492 | NPI | - | NPPES |
45826226 | Medicaid | CO | |
242390 | Medicaid | AZ | |
63250233 | Medicaid | NM | |
MD3780 | Medicaid | AK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 3780 (Alaska) | 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. Lawrence Edwin Chance Jr allows following entities to bill medicare on his behalf.
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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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. Lawrence Edwin Chance 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 |
Lawrence Edwin Chance Jr, MD Po Box 160, Northern Navajo Medical Center, Shiprock, NM 87420 Ph: (505) 368-6001 | Lawrence Edwin Chance Jr, MD Us Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Ph: (505) 368-6001 |
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