Lisa Chan, MD - Medicare Emergency Medicine in Vallejo, CA

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Lisa Chan, MD is a medicare enrolled "Emergency Medicine" physician in Vallejo, California. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Trinity Health Of New England Provider Network Organization Inc, Cep America Llc and her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 651-1000.

Lisa Chan is licensed to practice in Connecticut (license number 073665) 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 1366062325.

Contact Information

Lisa Chan, MD
975 Sereno Dr,
Vallejo, CA 94589-2441
(707) 651-1000
Not Available

Map and Direction




Physician's Profile

Full NameLisa Chan
GenderFemale
SpecialityEmergency Medicine
Experience6 Years
Location975 Sereno Dr, Vallejo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Chan graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1366062325
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 12/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769848860
  • Enrollment ID: I20230516001310

Medical Identifiers

Medical identifiers for Lisa Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366062325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 204583 (California)Secondary
207P00000XEmergency Medicine 073665 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Mary's HospitalWaterbury, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Health Of New England Provider Network Organization Inc0941113567613
Cep America Llc6608056171732

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. Lisa Chan allows following entities to bill medicare on her behalf.
Entity NameTrinity Health Of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameThe Hospital Of Connecticut At New Britain And Bradley Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700681202
PECOS PAC ID: 6608056171
Enrollment ID: O20250319001262

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. Lisa 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 AddressPractice Location Address
Lisa Chan, MD
975 Sereno Dr,
Vallejo, CA 94589-2441

Ph: (707) 651-1000		Lisa Chan, MD
975 Sereno Dr,
Vallejo, CA 94589-2441

Ph: (707) 651-1000

Reviews and Comments


Emergency Medicine Doctors in Vallejo, CA

Jason Willis-shore, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Hannah Stark St. Francis, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-5504    
Timothy Charles Miller, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Steven P. Whiteley, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Judith E Peck, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-3373    Fax: 707-651-2478
Peter P. Chau, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    
Neil L. Markus, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 975 Sereno Dr, Vallejo, CA 94589
Phone: 707-651-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.