Sophia W Chan, DO, DPT, LAC, ATC is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Boston, Massachusetts. Her current practice location is
800 Washington St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 636-5172.
Sophia W Chan is licensed to practice in Massachusetts (license number 279678) 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 1518290899.
Healthcare Provider's Profile
| Full Name | Sophia W Chan |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 800 Washington St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518290899
- Provider Enumeration Date: 09/17/2009
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567505548
- Enrollment ID: I20230816000953
Medical Identifiers
Medical identifiers for Sophia W Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518290899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 18810 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 279678 (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. Sophia W Chan allows following entities to bill medicare on her behalf.
| Provider Name | National Health Rehabilitation Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780080218
PECOS PAC ID: 4284952615
Enrollment ID: O20191216001644 |
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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. Sophia 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 |
|---|
Sophia W Chan, DO, DPT, LAC, ATC
800 Washington St # 400,
Boston, MA 02111-1552
Ph: (617) 636-5172 | Sophia W Chan, DO, DPT, LAC, ATC
800 Washington St,
Boston, MA 02111-1552
Ph: (617) 636-5172 |
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