Cany Tan Chong, in Ontario, CA - Medicare Counselor Provider

Cany Tan Chong, is a medicare enrolled "Counselor - Mental Health" provider in Ontario, California. Her current practice location is 3330 N Centre Lake Dr., Ontario, California. You can reach out to her office (for appointments etc.) via phone at (925) 466-0357.

Cany Tan Chong is licensed to practice in California (license number 96233) 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 1013212372.

Contact Information

	Cany Tan Chong,
	3330 N Centre Lake Dr., Ontario, CA 91761
	(925) 466-0357
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cany Tan Chong
Gender	Female
Speciality	Counselor - Mental Health
Location	3330 N Centre Lake Dr., Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013212372
Provider Enumeration Date: 01/18/2011
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5193266351
Enrollment ID: I20240916002686

Medical Identifiers

Medical identifiers for Cany Tan Chong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013212372	NPI	-	NPPES
7368	Other	CA	MEDICAL
7184	Other	CA	MEDICAL
7667	Other	CA	MEDICAL
7708	Other	CA	MEDICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	96233 (California)	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. Cany Tan Chong allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Cany Tan Chong 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
Cany Tan Chong, 3330 N Centre Lake Dr., Ontario, CA 91761 Ph: (925) 466-0357	Cany Tan Chong, 3330 N Centre Lake Dr., Ontario, CA 91761 Ph: (925) 466-0357

Reviews and Comments

Counselor in Ontario, CA

Goleania Cheric Darrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1371 Fax: 909-466-4820
Martha Nunez, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1517 Fax: 909-944-2917
Carmen Rebecca Mccarrel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3286 E Guasti Rd, Ontario, CA 91761 Phone: 888-376-7268
Ruby Ponce, PPS SCHOOL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 W D St, Ontario, CA 91762 Phone: 909-459-2500
Mr. Arif Khwaja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St, Ontario, CA 91762 Phone: 909-986-4506 Fax: 909-986-4506
Kaylin Fitzgerald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 W F St, Ste 101, Ontario, CA 91762 Phone: 909-986-4550

Cany Tan Chong, - Medicare Counselor in Ontario, CA