Chi Chan, PHD - Medicare Psychologist in Bronx, NY

Chi Chan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bronx, New York. Her current practice location is 130 W Kingsbridge Rd # 6a-44, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 584-9000.

Chi Chan is licensed to practice in New York (license number 022420) 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 1487088589.

Contact Information

Chi Chan, PHD
130 W Kingsbridge Rd # 6a-44,
Bronx, NY 10468
(718) 584-9000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameChi Chan
GenderFemale
SpecialityPsychologist - Clinical
Location130 W Kingsbridge Rd # 6a-44, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487088589
  • Provider Enumeration Date: 08/26/2013
  • Last Update Date: 05/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2961740501
  • Enrollment ID: I20190206003033

Medical Identifiers

Medical identifiers for Chi Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487088589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 022420 (New York)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. Chi Chan allows following entities to bill medicare on her behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033482518
PECOS PAC ID: 2264691070
Enrollment ID: O20120927000155

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. Chi 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 AddressPractice Location Address
Chi Chan, PHD
130 W Kingsbridge Rd # 6a-44,
Bronx, NY 10468-3904

Ph: (718) 584-9000
Chi Chan, PHD
130 W Kingsbridge Rd # 6a-44,
Bronx, NY 10468

Ph: (718) 584-9000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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