Ms Angie Ceelok Chan, is a
Speech-language Pathologist based in Hindman, Kentucky. Ms Angie Ceelok Chan is licensed to practice in Kentucky (license number 246561) and her current practice location is
388 Perkins Madden Rd, Hindman, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 785-5011.
NPI number for Ms Angie Ceelok Chan is 1093278269 and her current mailing address is 307 International Cir Ste 100, Hunt Valley, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093278269.
Healthcare Provider's Profile
| Full Name | Ms Angie Ceelok Chan |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 388 Perkins Madden Rd, Hindman, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093278269
- Provider Enumeration Date: 04/12/2019
- Last Update Date: 04/12/2019
Medical Identifiers
Medical identifiers for Ms Angie Ceelok Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093278269 | NPI | - | NPPES |
| 14036706 | Other | | AMERICAN SPEECH-HEARING-LANGUAGE ASSOCIATION |
| SP.11058 | Other | OH | STATE LICENSE |
| 246561 | Other | KY | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 246561 (Kentucky) | Primary |
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. Ms Angie Ceelok Chan 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 |
|---|
Ms Angie Ceelok Chan,
307 International Cir Ste 100,
Hunt Valley, MD 21030-1387
Ph: () - | Ms Angie Ceelok Chan,
388 Perkins Madden Rd,
Hindman, KY 41822-9003
Ph: (606) 785-5011 |
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