Michael W Chancellor, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Daytona Beach Shores, Florida. He went to University Of Mississippi School Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Advanced Urology Institute Llc and his current practice location is
3425 S Atlantic Ave Apt 906, Daytona Beach Shores, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 561-6357.
Michael W Chancellor is licensed to practice in Florida (license number ME47961) 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 1790893782.
Physician's Profile
Full Name | Michael W Chancellor |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 42 Years |
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Location | 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, Florida |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael W Chancellor attended and graduated from University Of Mississippi School Of Medicine in 1982
NPI Data:
- NPI Number: 1790893782
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103817564
- Enrollment ID: I20040524000477
Medical Identifiers
Medical identifiers for Michael W Chancellor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790893782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | ME47961 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Urology Institute Llc | 2163653585 | 114 |
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. Michael W Chancellor allows following entities to bill medicare on his behalf.
Entity Name | Advanced Urology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
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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. Michael W Chancellor 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 |
Michael W Chancellor, MD 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, FL 32118-6363 Ph: (352) 561-6357 | Michael W Chancellor, MD 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, FL 32118-6363 Ph: (352) 561-6357 |
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