Amandeep K Chahal, is a medicare enrolled "Nurse Practitioner - Family" in Ripon, California. Her current practice location is
521 N Wilma Ave Ste A, Ripon, California. You can reach out to her office (for appointments etc.) via phone at
(209) 599-4211.
Amandeep K Chahal is licensed to practice in California (license number NP95021033) 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 1659019354.
Provider's Profile
| Full Name | Amandeep K Chahal |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 521 N Wilma Ave Ste A, Ripon, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659019354
- Provider Enumeration Date: 05/23/2022
- Last Update Date: 08/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193101723
- Enrollment ID: I20221004003529
Medical Identifiers
Medical identifiers for Amandeep K Chahal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659019354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP95021033 (California) | 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. Amandeep K Chahal allows following entities to bill medicare on her behalf.
| Entity Name | Ripon Family Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356912638
PECOS PAC ID: 5496152845
Enrollment ID: O20210928000598 |
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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. Amandeep K Chahal 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 |
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Amandeep K Chahal,
3537 Kee Ln,
Modesto, CA 95355-8663
Ph: () - | Amandeep K Chahal,
521 N Wilma Ave Ste A,
Ripon, CA 95366-9003
Ph: (209) 599-4211 |
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