Dr Chenhao Fan, MD in Appleton, WI - Medicare Internal Medicine

Dr Chenhao Fan, MD is a medicare enrolled "Internal Medicine" physician in Appleton, Wisconsin. His current practice location is 630 E Sierra Ln, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (917) 362-1790.

Dr Chenhao Fan is licensed to practice in Wisconsin (license number 55190-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831351105.

Contact Information

	Dr Chenhao Fan, MD
	630 E Sierra Ln, Appleton, WI 54913-6603
	(917) 362-1790
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Chenhao Fan
Gender	Male
Speciality	Internal Medicine
Location	630 E Sierra Ln, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831351105
Provider Enumeration Date: 06/27/2008
Last Update Date: 04/27/2026

Medicare PECOS Information:

PECOS PAC ID: 5395081509
Enrollment ID: I20241024003082

Medical Identifiers

Medical identifiers for Dr Chenhao Fan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831351105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	55190-020 (Wisconsin)	Secondary
207R00000X	Internal Medicine	55190-20 (Wisconsin)	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 Chenhao Fan allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551

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 Chenhao Fan 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 Chenhao Fan, MD 630 E Sierra Ln, Appleton, WI 54913-6603 Ph: (917) 362-1790	Dr Chenhao Fan, MD 630 E Sierra Ln, Appleton, WI 54913-6603 Ph: (917) 362-1790

Reviews and Comments

Internal Medicine Doctors in Appleton, WI

Dirk Steinert, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037
Mrs. Shannon Leah Schmidt, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-364-3600 Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911 Phone: 920-734-4773
Gail Mary Mcnutt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7936
Dong Bo Yu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414
Deborah A Ihde, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293
Dr. Leigh Mae Provencher, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645

Dr Chenhao Fan, MD - Medicare Internal Medicine in Appleton, WI