Maria Carla Chan, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Downey, California. Her current practice location is
10441 Lakewood Blvd Ste Ab, Downey, California. You can reach out to her office (for appointments etc.) via phone at
(562) 869-1070.
Maria Carla Chan is licensed to practice in California (license number 95016747) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043895956.
Physician's Profile
| Full Name | Maria Carla Chan |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10441 Lakewood Blvd Ste Ab, Downey, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043895956
- Provider Enumeration Date: 03/11/2021
- Last Update Date: 01/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254735715
- Enrollment ID: I20210804003854
Medical Identifiers
Medical identifiers for Maria Carla Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043895956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95016747 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016747 (California) | Primary |
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. Maria Carla Chan allows following entities to bill medicare on her behalf.
| Entity Name | Healthcare Partners Affiliates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258 |
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| Entity Name | Minuteclinic Diagnostic Medical Group Of California Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289 |
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| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214 |
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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. Maria Carla 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 |
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Maria Carla Chan, NP
957 Adelante Ave,
Los Angeles, CA 90042-1501
Ph: (323) 215-8534 | Maria Carla Chan, NP
10441 Lakewood Blvd Ste Ab,
Downey, CA 90241-2744
Ph: (562) 869-1070 |
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