Justin Chang, DO, FAAHPM is a medicare enrolled "Family Medicine - Hospice And Palliative Medicine" provider in Eureka, California. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2009 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mendocino Care Network and his current practice location is
517 3rd St Ste 2, Eureka, California. You can reach out to his office (for appointments etc.) via phone at
(707) 442-5683.
Justin Chang is licensed to practice in California (license number 20A18091) 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 1265788228.
Healthcare Provider's Profile
| Full Name | Justin Chang |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 17 Years |
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| Location | 517 3rd St Ste 2, Eureka, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Justin Chang attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2009
NPI Data:
- NPI Number: 1265788228
- Provider Enumeration Date: 07/27/2012
- Last Update Date: 08/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698990620
- Enrollment ID: I20200427001685
Medical Identifiers
Medical identifiers for Justin Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265788228 | NPI | - | NPPES |
| 1265788228 | Medicaid | NV | |
| 13526128 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | DO1879 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | DO1879 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | OS016066 (Pennsylvania) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 20A18091 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mendocino Care Network | 3173950987 | 5 |
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. Justin Chang allows following entities to bill medicare on his behalf.
| Provider Name | Mendocino Care Network |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083255095
PECOS PAC ID: 3173950987
Enrollment ID: O20200217000878 |
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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. Justin Chang 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 |
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Justin Chang, DO, FAAHPM
8690 Sierra College Blvd Ste 160-306,
Roseville, CA 95661-5961
Ph: (822) 332-8896 | Justin Chang, DO, FAAHPM
517 3rd St Ste 2,
Eureka, CA 95501-0460
Ph: (707) 442-5683 |
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