Dr Chong S Cha, MD is a medicare enrolled "General Practice" physician in Upper Sandusky, Ohio. His current practice location is
885 N Sandusky Ave, Upper Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 294-5358.
Dr Chong S Cha is licensed to practice in Ohio (license number 35-040362) 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 1417955758.
Physician's Profile
| Full Name | Dr Chong S Cha |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 885 N Sandusky Ave, Upper Sandusky, Ohio |
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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: 1417955758
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 08/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406957299
- Enrollment ID: I20070724000210
Medical Identifiers
Medical identifiers for Dr Chong S Cha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417955758 | NPI | - | NPPES |
| 0337773 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 35-040362 (Ohio) | 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 Chong S Cha allows following entities to bill medicare on his behalf.
| Entity Name | Incare Health Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235422403 PECOS PAC ID: 5092980730 Enrollment ID: O20111208000530 |
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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 Chong S Cha 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 Chong S Cha, MD 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 Ph: (419) 294-5358 | Dr Chong S Cha, MD 885 N Sandusky Ave, Upper Sandusky, OH 43351-1031 Ph: (419) 294-5358 |
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