Dr Jack Chan, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Newington, New Hampshire. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Anesthesiology. His current practice location is
101 Shattuck Way Ste 6, Newington, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(617) 372-4018.
Dr Jack Chan is licensed to practice in New Hampshire (license number 34672) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376170522.
Physician's Profile
| Full Name | Dr Jack Chan |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 6 Years |
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| Location | 101 Shattuck Way Ste 6, Newington, New Hampshire |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jack Chan graduated from medical school in 2020
NPI Data:
- NPI Number: 1376170522
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 10/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991126435
- Enrollment ID: I20250821001421
Medical Identifiers
Medical identifiers for Dr Jack Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376170522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 34672 (New Hampshire) | Primary |
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 Jack 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 |
Dr Jack Chan, MD 101 Shattuck Way Ste 6, Newington, NH 03801-7876 Ph: (617) 372-4018 | Dr Jack Chan, MD 101 Shattuck Way Ste 6, Newington, NH 03801-7876 Ph: (617) 372-4018 |
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