Addison Chan, - Medicare Emergency Medicine in Modesto, CA

Addison Chan, is a medicare enrolled "Emergency Medicine" physician in Modesto, California. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Northeast Texas Emergency Physicians Pllc and his current practice location is 1700 Coffee Rd, Emergency Department, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 526-4500.

Addison Chan is licensed to practice in Pennsylvania (license number OS022272) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568791994.

Contact Information

Addison Chan,
1700 Coffee Rd, Emergency Department,
Modesto, CA 95355-2803
(209) 526-4500
Not Available

Map and Direction




Physician's Profile

Full NameAddison Chan
GenderMale
SpecialityEmergency Medicine
Experience18 Years
Location1700 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Addison Chan graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1568791994
  • Provider Enumeration Date: 12/14/2009
  • Last Update Date: 02/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729272216
  • Enrollment ID: I20190104001362

Medical Identifiers

Medical identifiers for Addison Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568791994NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R7410 (Texas)Secondary
207P00000XEmergency Medicine 20A11051 (California)Secondary
207P00000XEmergency Medicine OS022272 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus St Michael Health SystemTexarkana, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Texas Emergency Physicians Pllc8527420306140

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. Addison Chan allows following entities to bill medicare on his behalf.
Entity NameAcute Care Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740655273
PECOS PAC ID: 6800190364
Enrollment ID: O20160204000716
Entity NameIntegrative Emergency Services Physician Group-houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208
Entity NameNortheast Texas Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114607611
PECOS PAC ID: 8527420306
Enrollment ID: O20230810001225

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. Addison 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
Addison Chan,
4012 Wild Poppy Ct,
Modesto, CA 95356-8793

Ph: (831) 239-8371
Addison Chan,
1700 Coffee Rd, Emergency Department,
Modesto, CA 95355-2803

Ph: (209) 526-4500

Reviews and Comments


Emergency Medicine Doctors in Modesto, CA

John Joseph Gallo, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Dale Rd, Modesto, CA 95356
Phone: 209-557-1000    
Pallavi Sharma, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Coffee Rd, Modesto, CA 95355
Phone: 209-521-6097    
Phillip Michael Chan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350
Phone: 650-388-6383    
Dr. Paul Anthony Raykov, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Gregory P. Bowerman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Coffee Rd, Modesto, CA 95355
Phone: 209-569-7600    
Christopher Samuel Lau, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-6810    
Sushma V Shah, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4301 N Star Way, Modesto, CA 95356
Phone: 209-342-2300    Fax: 209-524-4240

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.