Dr Chang Qing Li, OD in New York, NY - Medicare Optometrist Provider

Dr Chang Qing Li, OD is a medicare enrolled "Optometrist" provider in New York, New York. His current practice location is 210 Canal St Rm 503, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 513-1338.

Dr Chang Qing Li is licensed to practice in New York (license number TUV005757) 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 1790707271.

Contact Information

	Dr Chang Qing Li, OD
	210 Canal St Rm 503, New York, NY 10013-4160
	(212) 513-1338
	(212) 619-2838

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Chang Qing Li
Gender	Male
Speciality	Optometrist
Location	210 Canal St Rm 503, New York, 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: 1790707271
Provider Enumeration Date: 07/24/2006
Last Update Date: 04/30/2018

Medicare PECOS Information:

PECOS PAC ID: 1850494881
Enrollment ID: I20070313000332

Medical Identifiers

Medical identifiers for Dr Chang Qing Li such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790707271	NPI	-	NPPES
01824208	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OA00601700 (New Jersey)	Secondary
152W00000X	Optometrist	TUV005757 (New York)	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. Dr Chang Qing Li allows following entities to bill medicare on his behalf.

Provider Name	New York Queens Medicine And Surgery, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163

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. Dr Chang Qing Li 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
Dr Chang Qing Li, OD 7 Witherspoon Way, Marlboro, NJ 07746-2708 Ph: (732) 431-2708	Dr Chang Qing Li, OD 210 Canal St Rm 503, New York, NY 10013-4160 Ph: (212) 513-1338

Reviews and Comments

Optometrist in New York, NY

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Dr. Lisa Chen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 551 5th Ave Fl 2, New York, NY 10176 Phone: 212-719-4000 Fax: 212-382-2123
Gary Tracy, Od P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 210 W 79th St, New York, NY 10024 Phone: 212-877-5840 Fax: 212-877-5841
Hmy Ophthalmic Dispenser Pc Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 212 3rd Ave, New York, NY 10003 Phone: 212-982-4469

Dr Chang Qing Li, OD - Medicare Optometrist in New York, NY