Tiffany Chan, FNP-C in Oakland, CA - Medicare Nurse Practitioner

Tiffany Chan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Oakland, California. Her current practice location is 3100 Telegraph Ave, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 869-6629.

Tiffany Chan is licensed to practice in California (license number 20582) 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 1306182001.

Contact Information

	Tiffany Chan, FNP-C
	3100 Telegraph Ave, Oakland, CA 94609-3239
	(510) 869-6629
	Not Available

Map and Direction

Provider's Profile

Full Name	Tiffany Chan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3100 Telegraph Ave, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306182001
Provider Enumeration Date: 12/27/2012
Last Update Date: 04/25/2013

Medicare PECOS Information:

PECOS PAC ID: 0042509663
Enrollment ID: I20160519002423

Medical Identifiers

Medical identifiers for Tiffany Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306182001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	20582 (California)	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. Tiffany Chan allows following entities to bill medicare on her behalf.

Entity Name	Massen Medical Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669533642 PECOS PAC ID: 4880776947 Enrollment ID: O20080128000693

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. Tiffany 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 Address	Practice Location Address
Tiffany Chan, FNP-C 3100 Telegraph Ave, Oakland, CA 94609-3239 Ph: (510) 869-6629	Tiffany Chan, FNP-C 3100 Telegraph Ave, Oakland, CA 94609-3239 Ph: (510) 869-6629

Reviews and Comments

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Tiffany Chan, FNP-C - Medicare Nurse Practitioner in Oakland, CA