Dr Jessica H Chan, DC in Chicago, IL - Medicare Chiropractor Provider

Dr Jessica H Chan, DC is a medicare enrolled "Chiropractor" provider in Chicago, Illinois. Her current practice location is 1509 S State St, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 965-5088.

Dr Jessica H Chan is licensed to practice in Illinois (license number 038.012068) 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 1033488242.

Contact Information

	Dr Jessica H Chan, DC
	1509 S State St, Chicago, IL 60605-2804
	(630) 965-5088
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessica H Chan
Gender	Female
Speciality	Chiropractor
Location	1509 S State St, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033488242
Provider Enumeration Date: 12/16/2011
Last Update Date: 10/01/2012

Medicare PECOS Information:

PECOS PAC ID: 9234383951
Enrollment ID: I20130205000524

Medical Identifiers

Medical identifiers for Dr Jessica H Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033488242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	038.012068 (Illinois)	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. Dr Jessica H Chan allows following entities to bill medicare on her behalf.

Provider Name	Equilibrium Health And Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093066003 PECOS PAC ID: 1658524004 Enrollment ID: O20130115000040

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 Jessica H 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
Dr Jessica H Chan, DC 1509 S State St, Chicago, IL 60605-2804 Ph: (630) 965-5088	Dr Jessica H Chan, DC 1509 S State St, Chicago, IL 60605-2804 Ph: (630) 965-5088

Reviews and Comments

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Dr Jessica H Chan, DC - Medicare Chiropractor in Chicago, IL