Miriam R Chan, MD in Tampa, FL - Medicare Anesthesiology

Miriam R Chan, MD is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in Tampa, Florida. Her current practice location is 10080 Balaye Run Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 490-6100.

Miriam R Chan is licensed to practice in Florida (license number ME115766) 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 1033351440.

Contact Information

	Miriam R Chan, MD
	10080 Balaye Run Dr, Tampa, FL 33619-7902
	(813) 490-6100
	Not Available

Map and Direction

Physician's Profile

Full Name	Miriam R Chan
Gender	Female
Speciality	Anesthesiology - Pediatric Anesthesiology
Location	10080 Balaye Run Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033351440
Provider Enumeration Date: 03/31/2009
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2466682778
Enrollment ID: I20140306002031

Medical Identifiers

Medical identifiers for Miriam R Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033351440	NPI	-	NPPES
010603200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	ME115766 (Florida)	Secondary
207LP3000X	Anesthesiology - Pediatric Anesthesiology	ME115766 (Florida)	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. Miriam R Chan allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117

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. Miriam R 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 Address	Practice Location Address
Miriam R Chan, MD 8994 Province St, Sarasota, FL 34240-8311 Ph: (407) 319-5000	Miriam R Chan, MD 10080 Balaye Run Dr, Tampa, FL 33619-7902 Ph: (813) 490-6100

Reviews and Comments

Anesthesiology Doctors in Tampa, FL

Ashok Narayan Shenoy, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Tampa General Cir, Suite A327, Tampa, FL 33606 Phone: 813-844-7677 Fax: 813-844-4972
Satish Bollu Reddy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 310, Tampa, FL 33607 Phone: 813-350-7244 Fax: 813-350-7246
Robert William Koss, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-4673
Dr. Jeffrey Marc Gilfor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11911 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-265-5300
William Joseph Quartuccio, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Suite: A-327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-4972
Carla Elaine Galang, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2 Columbia Dr, Suite A327, Tampa, FL 33606 Phone: 813-844-4396 Fax: 813-844-7942
Jay A Reichbach, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4211 W Boy Scout Blvd, Suite 400, Tampa, FL 33607 Phone: 855-485-3262 Fax: 813-443-8255

Miriam R Chan, MD - Medicare Anesthesiology in Tampa, FL