Ms Theresa Rose Chan, MSN, FNP-C, RN - Medicare Nurse Practitioner in Englewood, NJ

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Ms Theresa Rose Chan, MSN, FNP-C, RN is a medicare enrolled "Nurse Practitioner - Primary Care" in Englewood, New Jersey. Her current practice location is 15 Engle St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (800) 200-2345.

Ms Theresa Rose Chan is licensed to practice in New Jersey (license number F02220735) 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 1932855038.

Contact Information

Ms Theresa Rose Chan, MSN, FNP-C, RN
15 Engle St,
Englewood, NJ 07631-2936
(800) 200-2345
Not Available

Map and Direction




Provider's Profile

Full NameMs Theresa Rose Chan
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location15 Engle St, Englewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932855038
  • Provider Enumeration Date: 02/28/2022
  • Last Update Date: 02/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315318714
  • Enrollment ID: I20230123001691

Medical Identifiers

Medical identifiers for Ms Theresa Rose Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932855038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care F02220735 (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 Theresa Rose Chan allows following entities to bill medicare on her behalf.
Entity NameClare Medical Of New Jersey, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255718276
PECOS PAC ID: 8325369895
Enrollment ID: O20150609001994
Entity NamePersonal Np Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649658105
PECOS PAC ID: 9335455179
Enrollment ID: O20150825003750

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 Theresa Rose 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 AddressPractice Location Address
Ms Theresa Rose Chan, MSN, FNP-C, RN
100 Old Palisade Rd Apt 2111,
Fort Lee, NJ 07024-7020

Ph: (510) 220-1797		Ms Theresa Rose Chan, MSN, FNP-C, RN
15 Engle St,
Englewood, NJ 07631-2936

Ph: (800) 200-2345

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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