Dr Benjamin Chan, MD is a medicare enrolled "Emergency Medicine" physician in Brookfield, Connecticut. He went to State University Of New York Downstate Medical Center and graduated in 2012 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice North Shore Lij Urgent Care Pc and his current practice location is
31 Old Route 7, Brookfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 885-0808.
Dr Benjamin Chan is licensed to practice in Connecticut (license number 62052) 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 1043574718.
Physician's Profile
| Full Name | Dr Benjamin Chan |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 13 Years |
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| Location | 31 Old Route 7, Brookfield, Connecticut |
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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:
- Dr Benjamin Chan attended and graduated from State University Of New York Downstate Medical Center in 2012
NPI Data:
- NPI Number: 1043574718
- Provider Enumeration Date: 06/27/2012
- Last Update Date: 10/07/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628374196
- Enrollment ID: I20160309000940
Medical Identifiers
Medical identifiers for Dr Benjamin Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043574718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 282522 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 62052 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore Lij Urgent Care Pc | 6002131778 | 346 |
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 Benjamin Chan allows following entities to bill medicare on his behalf.
| Entity Name | Optum Medical Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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| Entity Name | North Shore Lij Urgent Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060 |
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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. Dr Benjamin 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 |
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Dr Benjamin Chan, MD
400 E Main St, Nwh Ed C/o Carol Forrest,
Mount Kisco, NY 10549-3417
Ph: (914) 666-1254 | Dr Benjamin Chan, MD
31 Old Route 7,
Brookfield, CT 06804-1711
Ph: (203) 885-0808 |
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