| Dr Cheong Wai Chan, MD | |
|
339 Reed Ave, Manitowoc, WI 54220-2020 | |
| (920) 320-8600 | |
| Not Available |
| Full Name | Dr Cheong Wai Chan |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 14 Years |
| Location | 339 Reed Ave, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922395623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125.059320 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 64304-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Entity Name | Appleton Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225885098 PECOS PAC ID: 7810431491 Enrollment ID: O20240708001420 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cheong Wai Chan, MD 353 N Desplaines St, Apt 510, Chicago, IL 60661-1234 Ph: (847) 682-8290 | Dr Cheong Wai Chan, MD 339 Reed Ave, Manitowoc, WI 54220-2020 Ph: (920) 320-8600 |
John Leo Olsen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Dr. Basil P Spyropoulos, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 | |
Dr. Krishna Bhatt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-3880 | |
Dr. Caroline Poirier, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4243 | |
Dr. Geralyn Ann Carducci, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1020 Maritime Dr, Manitowoc, WI 54220 Phone: 920-769-0152 Fax: 920-769-0153 |