Tith Chan, is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. He graduated from healthcare school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Gardner Family Health Network Inc and his current practice location is
160 E Virginia St Ste 280, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 287-6200.
Tith Chan is licensed to practice in California (license number 75516) 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 1891975256.
Healthcare Provider's Profile
| Full Name | Tith Chan |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 160 E Virginia St Ste 280, San Jose, 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:
- Tith Chan graduated from medical school in 2013
NPI Data:
- NPI Number: 1891975256
- Provider Enumeration Date: 11/13/2007
- Last Update Date: 03/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133555337
- Enrollment ID: I20200206002249
Medical Identifiers
Medical identifiers for Tith Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891975256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 75516 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gardner Family Health Network Inc | 5890859375 | 21 |
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. Tith Chan allows following entities to bill medicare on his behalf.
| Entity Name | Gardner Family Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699841528
PECOS PAC ID: 5890859375
Enrollment ID: O20191217001965 |
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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. Tith 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 |
|---|
Tith Chan,
160 E Virginia St Ste 100,
San Jose, CA 95112-5865
Ph: (408) 287-6200 | Tith Chan,
160 E Virginia St Ste 280,
San Jose, CA 95112-5817
Ph: (408) 287-6200 |
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