Audrey Jacqueline Chan, MD in Houston, TX

Audrey Jacqueline Chan, MD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Houston, Texas. Her current practice location is 6701 Fannin St, Suite 670, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 822-3720.

Audrey Jacqueline Chan is licensed to practice in Texas (license number Q0233) 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 1306161179.

Contact Information

	Audrey Jacqueline Chan, MD
	6701 Fannin St, Suite 670, Houston, TX 77030-2608
	(832) 822-3720
	Not Available

Map and Direction

Physician's Profile

Full Name	Audrey Jacqueline Chan
Gender	Female
Speciality	Dermatology - Pediatric Dermatology
Location	6701 Fannin St, Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306161179
Provider Enumeration Date: 04/05/2010
Last Update Date: 08/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3678099744
Enrollment ID: I20250501001486

Medical Identifiers

Medical identifiers for Audrey Jacqueline Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306161179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	Q0233 (Texas)	Primary
208000000X	Pediatrics	Q0233 (Texas)	Secondary
207N00000X	Dermatology	Q0233 (Texas)	Secondary

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. Audrey Jacqueline Chan allows following entities to bill medicare on her behalf.

Entity Name	Texas Childrens Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209

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. Audrey Jacqueline 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
Audrey Jacqueline Chan, MD 7500 Kirby Dr, Apt. 633, Houston, TX 77030-4300 Ph: (443) 618-1578	Audrey Jacqueline Chan, MD 6701 Fannin St, Suite 670, Houston, TX 77030-2608 Ph: (832) 822-3720

Reviews and Comments

Dermatology Doctors in Houston, TX

Stephanie Jacks, Dermatology Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000
Dr. Ida Francesca Orengo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1977 Butler Blvd Ste E6.200, Houston, TX 77030 Phone: 713-798-7620 Fax: 713-798-3252
Madeleine Duvic, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6655 Travis St, 600, Houston, TX 77030 Phone: 713-500-8260
Jimmy D Schmidt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 819 Peakwood Dr, Houston, TX 77090 Phone: 281-444-1288 Fax: 281-444-9177
Robert Lin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2222 Greenhouse Rd Ste 1000, Houston, TX 77084 Phone: 832-437-1763 Fax: 855-751-8050
Neda Nosrati, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 7575 San Felipe St Ste 300, Houston, TX 77063 Phone: 713-952-8400 Fax: 713-952-9448
Michael Sedrak, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4550 Post Oak Place Dr Ste 340, Houston, TX 77027 Phone: 877-850-6009 Fax: 855-919-6009

Audrey Jacqueline Chan, MD - Medicare Dermatology in Houston, TX