Timothy Chan Dpm is a
Podiatrist - Foot & Ankle Surgery based in Weeki Wachee, Florida. Timothy Chan Dpm is licensed to practice in Florida (license number PO3400) and their current practice location is
11375 Cortez Blvd, Weeki Wachee, Florida. It can be reached at their office (for appointments etc.) via phone at
(352) 596-6632.
NPI number for Timothy Chan Dpm is 1104329747 and their current mailing address is 12180 28th St N, St Petersburg, Florida. Timothy Chan Dpm
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104329747.
Healthcare Provider's Profile
Full Name | Timothy Chan Dpm |
---|
Type | Facility |
---|
Speciality | Podiatrist - Foot & Ankle Surgery |
---|
Location | 11375 Cortez Blvd, Weeki Wachee, Florida |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104329747
- Provider Enumeration Date: 03/09/2018
- Last Update Date: 03/09/2018
Medical Identifiers
Medical identifiers for Timothy Chan Dpm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104329747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3400 (Florida) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
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. Timothy Chan Dpm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Timothy Chan Dpm 12180 28th St N, St Petersburg, FL 33716-1820 Ph: (727) 572-5449 | Timothy Chan Dpm 11375 Cortez Blvd, Weeki Wachee, FL 34613-5409 Ph: (352) 596-6632 |
Reviews and Comments