Dr Benjamin Chan, MD - Medicare Emergency Medicine in Brookfield, CT

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Dr Benjamin Chan, MD is a medicare enrolled "Emergency Medicine" physician in Brookfield, Connecticut. He went to State University Of New York Downstate Medical Center and graduated in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore Lij Urgent Care Pc and his current practice location is 31 Old Route 7, Brookfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 885-0808.

Dr Benjamin Chan is licensed to practice in Connecticut (license number 62052) 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 1043574718.

Contact Information

Dr Benjamin Chan, MD
31 Old Route 7,
Brookfield, CT 06804-1711
(203) 885-0808
(203) 885-0813

Map and Direction




Physician's Profile

Full NameDr Benjamin Chan
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location31 Old Route 7, Brookfield, Connecticut
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:
  • Dr Benjamin Chan attended and graduated from State University Of New York Downstate Medical Center in 2012
  NPI Data:
  • NPI Number: 1043574718
  • Provider Enumeration Date: 06/27/2012
  • Last Update Date: 10/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8628374196
  • Enrollment ID: I20160309000940

Medical Identifiers

Medical identifiers for Dr Benjamin Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043574718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 282522 (New York)Secondary
207P00000XEmergency Medicine 62052 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps Memorial Hospital CenterSleepy hollow, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore Lij Urgent Care Pc6002131778302

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. Dr Benjamin Chan allows following entities to bill medicare on his behalf.
Entity NameOptum Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameNorth Shore Lij Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060

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. Dr Benjamin 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
Dr Benjamin Chan, MD
400 E Main St, Nwh Ed C/o Carol Forrest,
Mount Kisco, NY 10549-3417

Ph: (914) 666-1254		Dr Benjamin Chan, MD
31 Old Route 7,
Brookfield, CT 06804-1711

Ph: (203) 885-0808

Reviews and Comments


Emergency Medicine Doctors in Brookfield, CT

Matthew David Amara, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31 Old Route 7, Brookfield, CT 06804
Phone: 203-740-4455    Fax: 203-740-4477
Michael J Alper, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 31 Old Route 7, Brookfield, CT 06804
Phone: 203-885-0808    Fax: 203-885-0813

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.