Jennifer R Chan, MD in Hawthorne, CA - Medicare Family Practice

Jennifer R Chan, MD is a medicare enrolled "Family Medicine" physician in Hawthorne, California. She went to Ohio State University College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Medical Institute and her current practice location is 12618 Hawthorne Blvd., Hawthorne, California. You can reach out to her office (for appointments etc.) via phone at (310) 263-5700.

Jennifer R Chan is licensed to practice in California (license number A92325) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396756102.

Contact Information

	Jennifer R Chan, MD
	12618 Hawthorne Blvd., Hawthorne, CA 90250-2325
	(310) 263-5700
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer R Chan
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	12618 Hawthorne Blvd., Hawthorne, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer R Chan attended and graduated from Ohio State University College Of Medicine in 2002

NPI Data:

NPI Number: 1396756102
Provider Enumeration Date: 08/10/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3173547692
Enrollment ID: I20070514000529

Medical Identifiers

Medical identifiers for Jennifer R Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396756102	NPI	-	NPPES
088054-01	Medicaid	HI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD12989 (Hawaii)	Secondary
207Q00000X	Family Medicine	A92325 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Little Company Of Mary Med Ctr Torrance	Torrance, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	290

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. Jennifer R Chan allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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. Jennifer R 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
Jennifer R Chan, MD 12618 Hawthorne Blvd., Hawthorne, CA 90250-2325 Ph: (310) 263-5700	Jennifer R Chan, MD 12618 Hawthorne Blvd., Hawthorne, CA 90250-2325 Ph: (310) 263-5700

Reviews and Comments

Family Medicine Doctors in Hawthorne, CA

Dr. Khalid B Khan, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13425 Inglewood Ave, Hawthorne, CA 90250 Phone: 310-679-2201 Fax: 310-679-4236
Nicholas Gottert, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4455 W 117th St Ste 300, Hawthorne, CA 90250 Phone: 310-645-0444
Dr. Stephan T Honda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 323-757-2118
Gregory Vanepps, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3615 Jack Northrop Ave Ste 100, Hawthorne, CA 90250 Phone: 310-300-1051 Fax: 310-300-1052
Dr. Derek Frank Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11633 Hawthorne Blvd, Suite 410, Hawthorne, CA 90250 Phone: 310-792-4450 Fax: 310-792-4455
Janet Fahem Soliman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11946 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-675-1136 Fax: 310-970-1447

Jennifer R Chan, MD - Medicare Family Practice in Hawthorne, CA