Mr Kyle Chan, PAC in Long Island City, NY - Medicare Physician Assistant

Mr Kyle Chan, PAC is a medicare enrolled "Physician Assistant - Medical" in Long Island City, New York. His current practice location is 2510 30th Ave, Long Island City, New York. You can reach out to his office (for appointments etc.) via phone at (718) 267-4390.

Mr Kyle Chan is licensed to practice in New York (license number 005143) 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 1720016983.

Contact Information

	Mr Kyle Chan, PAC
	2510 30th Ave, Long Island City, NY 11102-2448
	(718) 267-4390
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kyle Chan
Gender	Male
Speciality	Physician Assistant - Medical
Location	2510 30th Ave, Long Island City, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720016983
Provider Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658469309
Enrollment ID: I20071114000386

Medical Identifiers

Medical identifiers for Mr Kyle Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720016983	NPI	-	NPPES
2165320	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	005143 (New York)	Primary

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. Mr Kyle 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
Mr Kyle Chan, PAC 3 Sunnyfield Rd, Hicksville, NY 11801-4822 Ph: (516) 932-8584	Mr Kyle Chan, PAC 2510 30th Ave, Long Island City, NY 11102-2448 Ph: (718) 267-4390

Reviews and Comments

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Mr Kyle Chan, PAC - Medicare Physician Assistant in Long Island City, NY