Tracey E Chan, NP in Detroit, MI - Medicare Nurse Practitioner

Tracey E Chan, NP is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. Her current practice location is 5555 Conner St, Ste 2691, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 579-1182.

Tracey E Chan is licensed to practice in Michigan (license number 4704220570) 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 1710091376.

Contact Information

	Tracey E Chan, NP
	5555 Conner St, Ste 2691, Detroit, MI 48213-3448
	(313) 579-1182
	(313) 579-5128

Map and Direction

Provider's Profile

Full Name	Tracey E Chan
Gender	Female
Speciality	Nurse Practitioner
Location	5555 Conner St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710091376
Provider Enumeration Date: 08/19/2006
Last Update Date: 05/10/2011

Medicare PECOS Information:

PECOS PAC ID: 3274533930
Enrollment ID: I20070102000344

Medical Identifiers

Medical identifiers for Tracey E Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710091376	NPI	-	NPPES
4956148	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704220570 (Michigan)	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. Tracey E Chan allows following entities to bill medicare on her behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20031103000102

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. Tracey E 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
Tracey E Chan, NP 5555 Conner St, Ste 2691, Detroit, MI 48213-3448 Ph: (313) 579-1182	Tracey E Chan, NP 5555 Conner St, Ste 2691, Detroit, MI 48213-3448 Ph: (313) 579-1182

Reviews and Comments

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Tracey E Chan, NP - Medicare Nurse Practitioner in Detroit, MI