Dr Jack Chan, MD in Burlington, VT - Medicare Anesthesiology

Dr Jack Chan, MD is a medicare enrolled "Anesthesiology" physician in Burlington, Vermont. His current practice location is 111 Colchester Ave, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 847-2345.

Dr Jack Chan is licensed to practice in New Hampshire (license number 34672) 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 1376170522.

Contact Information

	Dr Jack Chan, MD
	111 Colchester Ave, Burlington, VT 05401-1473
	(802) 847-2345
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jack Chan
Gender	Male
Speciality	Anesthesiology
Location	111 Colchester Ave, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376170522
Provider Enumeration Date: 03/26/2020
Last Update Date: 04/24/2025

Medicare PECOS Information:

PECOS PAC ID: 5991126435
Enrollment ID: I20200609000829

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
207L00000X	Anesthesiology	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 73 Sprague St, Malden, MA 02148-4035 Ph: (617) 372-4018	Dr Jack Chan, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-2345

Reviews and Comments

Anesthesiology Doctors in Burlington, VT

Dr. Lydia S Grondin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Dept Of Anesthesia Wp2, Burlington, VT 05401 Phone: 802-847-2415
Jennifer Danles, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324
Dr. Jesus David Dominguez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-0000
Timothy S Dominick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Wp2, 122wp2, Burlington, VT 05401 Phone: 802-847-2415
Dr. Robert Isaac Hieronimus, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415
Eva V Fraser-harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Fahc-wp2, Burlington, VT 05401 Phone: 802-847-2415 Fax: 802-847-5324
Rebecca Ann Aslakson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2415

Dr Jack Chan, MD - Medicare Anesthesiology in Burlington, VT