Theodore Chang, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in North Little Rock, Arkansas. His current practice location is
5328 Northshore Cv, North Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 225-4001.
Theodore Chang is licensed to practice in Arkansas (license number E-9787) 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 1154617843.
Physician's Profile
Full Name | Theodore Chang |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 5328 Northshore Cv, North Little Rock, Arkansas |
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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: 1154617843
- Provider Enumeration Date: 06/22/2011
- Last Update Date: 11/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254623861
- Enrollment ID: I20160629002914
Medical Identifiers
Medical identifiers for Theodore Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154617843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 28459 (Oklahoma) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2016-01125 (North Carolina) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MA10139500 (New Jersey) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2016034437 (Missouri) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 24453 (Mississippi) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D79534 (Maryland) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 304516 (Louisiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 04-39110 (Kansas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01077334A (Indiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME130294 (Florida) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 144598 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 52411 (Arizona) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-13573 (Idaho) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 76955 (Georgia) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | E-9787 (Arkansas) | 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. Theodore Chang allows following entities to bill medicare on his behalf.
Entity Name | Advanced Pathology Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053686964 PECOS PAC ID: 5597926709 Enrollment ID: O20120416000535 |
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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. Theodore Chang 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 |
Theodore Chang, MD 4850 Northshore Ln, North Little Rock, AR 72118 Ph: (501) 225-1400 | Theodore Chang, MD 5328 Northshore Cv, North Little Rock, AR 72118-5332 Ph: (501) 225-4001 |
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