Kimberley W Chan, OD in Boston, MA - Medicare Optometrist Provider

Kimberley W Chan, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Boston, Massachusetts. Her current practice location is 243 Charles St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 573-4169.

Kimberley W Chan is licensed to practice in Massachusetts (license number 4522) 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 1104908458.

Contact Information

	Kimberley W Chan, OD
	243 Charles St, Boston, MA 02114-3002
	(617) 573-4169
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberley W Chan
Gender	Female
Speciality	Optometrist - Pediatrics
Location	243 Charles St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104908458
Provider Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183658339
Enrollment ID: I20051004000535

Medical Identifiers

Medical identifiers for Kimberley W Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104908458	NPI	-	NPPES
W16452	Other	MA	BCBS PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WP0200X	Optometrist - Pediatrics	4522 (Massachusetts)	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. Kimberley W Chan allows following entities to bill medicare on her behalf.

Provider Name	Childrens Hospital Ophthalmology Foundation Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770679045 PECOS PAC ID: 8729049150 Enrollment ID: O20041020000189

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. Kimberley W 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
Kimberley W Chan, OD 243 Charles St, Boston, MA 02114-3002 Ph: (617) 573-4169	Kimberley W Chan, OD 243 Charles St, Boston, MA 02114-3002 Ph: (617) 573-4169

Reviews and Comments

Optometrist in Boston, MA

Dr. Ying Zhou, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1341 Boylston St, Target Optical, Boston, MA 02215 Phone: 857-654-5912
Justine Pidgeon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 400 Commonwealth Ave Ste 2, Boston, MA 02215 Phone: 617-426-0370
Dr. Brittney Jaye Mazza, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 930 Commonwealth Ave, Suite 2a, Boston, MA 02215 Phone: 617-262-2020
Boston Telehealth Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 424 Beacon St, Boston, MA 02115 Phone: 617-834-3245
Chukwuemeka Johnson Achonu, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 260 Tremont St, Boston, MA 02116 Phone: 617-636-4600
Ms. Ceida P Chan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100
Dr. Howard S Harrison, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 33 Broad St, Lobby, Boston, MA 02109 Phone: 617-742-7200 Fax: 617-742-7272

Kimberley W Chan, OD - Medicare Optometrist in Boston, MA