Jeremy Jay Chan, DPT ATC in Mountain View, CA - Medicare Physical Therapist Provider

Jeremy Jay Chan, DPT ATC is a medicare enrolled "Physical Therapist" provider in Mountain View, California. His current practice location is 490 W El Camino Real, Mountain View, California. You can reach out to his office (for appointments etc.) via phone at (650) 961-7370.

Jeremy Jay Chan is licensed to practice in California (license number PT27391) 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 1063495869.

Contact Information

	Jeremy Jay Chan, DPT ATC
	490 W El Camino Real, Mountain View, CA 94040-2610
	(650) 961-7370
	(650) 961-2360

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Jay Chan
Gender	Male
Speciality	Physical Therapist
Location	490 W El Camino Real, Mountain View, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063495869
Provider Enumeration Date: 11/25/2005
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2668466160
Enrollment ID: I20040408000920

Medical Identifiers

Medical identifiers for Jeremy Jay Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063495869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT27391 (California)	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. Jeremy Jay Chan allows following entities to bill medicare on his behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jeremy Jay 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
Jeremy Jay Chan, DPT ATC 246 Sobrante Way, Sunnyvale, CA 94086-4807 Ph: (408) 733-3670	Jeremy Jay Chan, DPT ATC 490 W El Camino Real, Mountain View, CA 94040-2610 Ph: (650) 961-7370

Reviews and Comments

Physical Therapist in Mountain View, CA

Uma Ramasubramanian, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 W El Camino Real, Mountain View, CA 94040 Phone: 650-961-7370 Fax: 650-961-2360
Ms. Emily Cristina Diaz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 South Dr Ste 5, Mountain View, CA 94040 Phone: 650-282-5554 Fax: 650-282-5530
Susan Zobac, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-404-8333
Jennifer Newman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 525 South Dr Ste 211, Mountain View, CA 94040 Phone: 650-934-0455 Fax: 650-934-0456
Sheila Hemant Mistry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Woodleaf Way, Mountain View, CA 94040 Phone: 650-793-5146
Karlo Castillo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 525 South Dr, Suite 211, Mountain View, CA 94040 Phone: 650-934-0455

Jeremy Jay Chan, DPT ATC - Medicare Physical Therapist in Mountain View, CA