Dr Chandler Vimal Mohan, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecology" physician in Lake City, Florida. His current practice location is
4812 W Us Highway 90, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 466-1106.
Dr Chandler Vimal Mohan is licensed to practice in Virginia (license number 0101243179) 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 1629239561.
Physician's Profile
| Full Name | Dr Chandler Vimal Mohan |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4812 W Us Highway 90, Lake City, Florida |
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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 Chandler Vimal Mohan attended and graduated from in
NPI Data:
- NPI Number: 1629239561
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 11/04/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Chandler Vimal Mohan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629239561 | NPI | - | NPPES |
| 1629239561 | Medicaid | VA | |
| 002878500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 0101243179 (Virginia) | Primary |
| 208D00000X | General Practice | 0101243179 (Virginia) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME101708 (Florida) | Secondary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | ME101708 (Florida) | Secondary |
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 Chandler Vimal Mohan 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 Chandler Vimal Mohan, MD
Po Box 1646,
Lake City, FL 32056-1646
Ph: (386) 466-1106 | Dr Chandler Vimal Mohan, MD
4812 W Us Highway 90,
Lake City, FL 32055-5126
Ph: (386) 466-1106 |
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