Chandarong Shawn Lam, in Chula Vista, CA - Medicare Nurse Practitioner

Chandarong Shawn Lam, is a medicare enrolled "Nurse Practitioner - Primary Care" in Chula Vista, California. His current practice location is 2420 Turning Trail Rd, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at (619) 961-7461.

Chandarong Shawn Lam is licensed to practice in California (license number 95028785) 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 1477316727.

Contact Information

	Chandarong Shawn Lam,
	2420 Turning Trail Rd, Chula Vista, CA 91914-4161
	(619) 961-7461
	Not Available

Map and Direction

Provider's Profile

Full Name	Chandarong Shawn Lam
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	2420 Turning Trail Rd, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477316727
Provider Enumeration Date: 01/31/2024
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 3779927934
Enrollment ID: I20240215004281

Medical Identifiers

Medical identifiers for Chandarong Shawn Lam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477316727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95028785 (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. Chandarong Shawn Lam allows following entities to bill medicare on his behalf.

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

Entity Name	Central Health Plan Of California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559

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. Chandarong Shawn Lam 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
Chandarong Shawn Lam, 2420 Turning Trail Rd, Chula Vista, CA 91914-4161 Ph: (619) 961-7461	Chandarong Shawn Lam, 2420 Turning Trail Rd, Chula Vista, CA 91914-4161 Ph: (619) 961-7461

Reviews and Comments

Nurse Practitioner Nurses in Chula Vista, CA

Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946
Shulami Park Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 353 H St, Chula Vista, CA 91910 Phone: 858-552-8585 Fax: 858-642-6325
Stephanie Reittinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 865 3rd Ave Ste 101, Chula Vista, CA 91911 Phone: 619-426-7910 Fax: 619-426-2337
Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701
Allison Marie Davies-uppal, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914 Phone: 858-335-0682
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660

Chandarong Shawn Lam, - Medicare Nurse Practitioner in Chula Vista, CA