Ms Grace S Chang, APN is a medicare enrolled "Nurse Practitioner - Family" in Demille, New Jersey. Her current practice location is
276 Main St., Minute Clinic / Cvs #2416, Demille, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 664-2391.
Ms Grace S Chang is licensed to practice in New Jersey (license number 26NJ00366900) 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 1447519020.
Provider's Profile
Full Name | Ms Grace S Chang |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 276 Main St., Demille, New Jersey |
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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: 1447519020
- Provider Enumeration Date: 05/16/2012
- Last Update Date: 10/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 2365691490
- Enrollment ID: I20121005000307
Medical Identifiers
Medical identifiers for Ms Grace S Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447519020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 26NJ00366900 (New Jersey) | 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. Ms Grace S Chang allows following entities to bill medicare on her behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336203538 PECOS PAC ID: 7911003330 Enrollment ID: O20070502000000 |
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Entity Name | Minuteclinic Diagnostic Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053353615 PECOS PAC ID: 8527142439 Enrollment ID: O20080229000382 |
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Entity Name | Humc Medical Observation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730406414 PECOS PAC ID: 8729104021 Enrollment ID: O20100923001103 |
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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. Ms Grace S 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 |
Ms Grace S Chang, APN 183 Rt 206 North, Minute Clinic / Cvs 6060, Chester, NJ 07930 Ph: (908) 879-6818 | Ms Grace S Chang, APN 276 Main St., Minute Clinic / Cvs #2416, Demille, NJ 07834-2646 Ph: (973) 664-2391 |
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