Theodore T Chang, MD | |
319 S Manning Blvd, Suite 106, Albany, NY 12208-1742 | |
(518) 438-1019 | |
(518) 438-0981 |
Full Name | Theodore T Chang |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 33 Years |
Location | 319 S Manning Blvd, Albany, 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 |
---|---|---|---|
1477503936 | NPI | - | NPPES |
92950 | Other | NY | GHI HMO |
P00291584 | Other | NY | RAILROAD MEDICARE |
00406922007 | Other | NY | BLUE SHIELD NORTHEASTERN |
10002480 | Other | NY | CAPITAL DISTRICT PHYSICIA |
1099057 | Other | NY | GHI PPO |
24134 | Other | NY | MOHAWK VALLEY PHYSICIANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 204809 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Peter's Hospital | Albany, NY | Hospital |
Samaritan Hospital | Troy, NY | Hospital |
Columbia Memorial Hospital | Hudson, NY | Hospital |
Ellis Hospital | Schenectady, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Peter's Health Partners Medical Associates, P.c. | 6103061189 | 400 |
Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
Mailing Address | Practice Location Address |
---|---|
Theodore T Chang, MD Po Box 14890, Albany, NY 12212-4890 Ph: () - | Theodore T Chang, MD 319 S Manning Blvd, Suite 106, Albany, NY 12208-1742 Ph: (518) 438-1019 |
Dr. Jonah Marshall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 106, Albany, NY 12208 Phone: 518-438-1019 Fax: 518-489-7642 | |
Rebecca Leigh O'malley, MD Urology Medicare: Medicare Enrolled Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Brian Patrick Murray, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Executive Park, Albany, NY 12203 Phone: 518-489-7494 Fax: 518-489-7641 | |
Dr. Adam Shattuck Howe, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd # Mc-108, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Dr. Robert Charles Welliver Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Jean G. Hollowell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 23 Hackett Blvd, Mc 208, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Barry Kogan, Urology Medicare: Medicare Enrolled Practice Location: South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 Phone: 518-262-3341 |