Katherine Maya Chan, PT, DPT in Fairfield, CT - Medicare Physical Therapist Provider

Katherine Maya Chan, PT, DPT is a medicare enrolled "Physical Therapist" provider in Fairfield, Connecticut. Her current practice location is 1931 Black Rock Tpke, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-8681.

Katherine Maya Chan is licensed to practice in Connecticut (license number 11165) 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 1407304231.

Contact Information

	Katherine Maya Chan, PT, DPT
	1931 Black Rock Tpke, Fairfield, CT 06825-3506
	(203) 384-8681
	(203) 384-0722

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Maya Chan
Gender	Female
Speciality	Physical Therapist
Location	1931 Black Rock Tpke, Fairfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407304231
Provider Enumeration Date: 09/21/2016
Last Update Date: 04/06/2018

Medicare PECOS Information:

PECOS PAC ID: 9335521269
Enrollment ID: I20220809001269

Medical Identifiers

Medical identifiers for Katherine Maya Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407304231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11165 (Connecticut)	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. Katherine Maya Chan allows following entities to bill medicare on her behalf.

Provider Name	Seattle Children's Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. Katherine Maya 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
Katherine Maya Chan, PT, DPT 1931 Black Rock Tpke, Fairfield, CT 06825-3506 Ph: (203) 384-8681	Katherine Maya Chan, PT, DPT 1931 Black Rock Tpke, Fairfield, CT 06825-3506 Ph: (203) 384-8681

Reviews and Comments

Physical Therapist in Fairfield, CT

Lainie Mchugh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1931 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-384-8681
Mrs. Rebecca Lynne Petrosino, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2373 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-659-4898 Fax: 203-659-4899
Restore Health Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2060 Post Rd, Fairfield, CT 06824 Phone: 203-435-0350
Miss Hanna Mary Gleason, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1499 Post Rd Lowr Level, Fairfield, CT 06824 Phone: 203-445-0845
Gail Weintraub, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Mill Plain Rd, Fairfield, CT 06824 Phone: 203-255-3573
Laura M Delladonna, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 305 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-337-2600 Fax: 203-337-2611
Center For Pediatric Therapy-fairfield, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Post Rd, Suite 204, Fairfield, CT 06824 Phone: 203-255-3669 Fax: 205-255-1173

Katherine Maya Chan, PT, DPT - Medicare Physical Therapist in Fairfield, CT