Dr Jackie Tsz-kit Chan, MD is a
Physical Medicine & Rehabilitation based in Modesto, California. Dr Jackie Tsz-kit Chan is licensed to practice in California (license number G077865) and his current practice location is
413 E Orangeburg Ave Ste A, Modesto, California. He can be reached at his office (for appointments etc.) via phone at
(209) 529-4422.
NPI number for Dr Jackie Tsz-kit Chan is 1801850953 and his current mailing address is 4120 Dale Rd, Ste J-8 #232, Modesto, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801850953.
Healthcare Provider's Profile
| Full Name | Dr Jackie Tsz-kit Chan |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 413 E Orangeburg Ave Ste A, Modesto, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801850953
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 08/24/2023
Medical Identifiers
Medical identifiers for Dr Jackie Tsz-kit Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801850953 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | G077865 (California) | Secondary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | G077865 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | G077865 (California) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | G077865 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G077865 (California) | Secondary |
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 Jackie Tsz-kit 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 |
|---|
Dr Jackie Tsz-kit Chan, MD
4120 Dale Rd, Ste J-8 #232,
Modesto, CA 95356-9239
Ph: (209) 529-4422 | Dr Jackie Tsz-kit Chan, MD
413 E Orangeburg Ave Ste A,
Modesto, CA 95350-5369
Ph: (209) 529-4422 |
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