Dr Carissa Ellen Chu, MD is a medicare enrolled "Urology" physician in San Francisisco, California. Her current practice location is 
513 Parnassus Ave, S-321, San Francisisco, California. You can reach out to her office (for appointments etc.) via phone at 
(415) 476-1239.
Dr Carissa Ellen Chu is licensed to practice in California (license number 144879) 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 1063807220.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Dr Carissa Ellen Chu | 
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| Gender | Female | 
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| Speciality | Urology | 
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| Location | 513 Parnassus Ave, S-321, San Francisisco, California | 
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1063807220
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 10/10/2023
  Medicare PECOS Information:
- PECOS PAC ID: 0648568709
- Enrollment ID: I20231002001944
 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Carissa Ellen Chu such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1063807220 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208800000X | Urology | 144879 (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. Dr Carissa Ellen Chu allows following entities to bill medicare on her behalf.
| Entity Name | University Of California San Francisco | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229
 Enrollment ID: O20031212000897
 | 
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| Entity Name | Ucsf Medical Group Business Services | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870
 Enrollment ID: O20040622001513
 | 
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| Entity Name | City & County Of San Francisco | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748
 Enrollment ID: O20050309000770
 | 
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| Entity Name | University Of California Sfgh Medical Group | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1407821465 PECOS PAC ID: 5496668410
 Enrollment ID: O20050328001098
 | 
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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 Carissa Ellen Chu 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 Carissa Ellen Chu, MD 1581 16th Ave,
 San Francisco, CA 94122-3524
 Ph: (650) 576-3416
 | Dr Carissa Ellen Chu, MD 513 Parnassus Ave, S-321,
 San Francisisco, CA 94143
 Ph: (415) 476-1239
 | 
		
		 
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