| Justin Theodore Chang, MD | |
|
1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 | |
| (319) 235-3838 | |
| Not Available |
| Full Name | Justin Theodore Chang |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 1825 Logan Ave Ste 201, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1841729910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47374 (Iowa) | Primary |
| 207Q00000X | Family Medicine | 2017018876 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meriter Hospital | Madison, WI | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meriter Hospital Inc | 3971412735 | 117 |
| Entity Name | Meriter Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548280225 PECOS PAC ID: 3971412735 Enrollment ID: O20031126000346 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Theodore Chang, MD 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 Ph: (319) 235-3838 | Justin Theodore Chang, MD 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 Ph: (319) 235-3838 |
Kurtis Alan Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Mark J Louviere, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3568 Fax: 319-235-5013 | |
Dr. Robert L Friedman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Manpreet Singh Gill, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Sejla Cejvanovic, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Emily Rose Pursley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 | |
Shamim S Khan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |