Mary Chang, is a medicare enrolled "Physician Assistant" provider in Seattle, Washington. Her current practice location is
125 16th Ave E, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 326-3000.
Mary Chang is licensed to practice in Washington (license number PA60688813) 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 1659470516.
Healthcare Provider's Profile
| Full Name | Mary Chang |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 125 16th Ave E, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659470516
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 10/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860773728
- Enrollment ID: I20170109000799
Medical Identifiers
Medical identifiers for Mary Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659470516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | 0104555718 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | PA60688813 (Washington) | Primary |
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. Mary 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 |
Mary Chang, 125 16th Ave E, Seattle, WA 98112-5211 Ph: (206) 326-3000 | Mary Chang, 125 16th Ave E, Seattle, WA 98112-5211 Ph: (206) 326-3000 |
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