Ms Mary W Chang, MD in Farmington, CT

Ms Mary W Chang, MD is a medicare enrolled "Dermatology - Pediatric Dermatology" physician in Farmington, Connecticut. Her current practice location is Uconn Dermatology, 21 South Road, 2nd Floor, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 679-4600.

Ms Mary W Chang is licensed to practice in Connecticut (license number 42985) 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 1962407718.

Contact Information

	Ms Mary W Chang, MD
	Uconn Dermatology, 21 South Road, 2nd Floor, Farmington, CT 06032
	(860) 679-4600
	(860) 679-7534

Map and Direction

Physician's Profile

Full Name	Ms Mary W Chang
Gender	Female
Speciality	Dermatology - Pediatric Dermatology
Location	Uconn Dermatology, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962407718
Provider Enumeration Date: 06/17/2005
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 6608829502
Enrollment ID: I20050302000632

Medical Identifiers

Medical identifiers for Ms Mary W Chang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962407718	NPI	-	NPPES
001429853	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	42985 (Connecticut)	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. Ms Mary W Chang allows following entities to bill medicare on her behalf.

Entity Name	University Of Connecticut Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105

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. Ms Mary W Chang 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
Ms Mary W Chang, MD Department Of Dermatology Uconn Health, 21 South Rd, 2nd Floor, Farmington, CT 06032 Ph: (860) 679-4600	Ms Mary W Chang, MD Uconn Dermatology, 21 South Road, 2nd Floor, Farmington, CT 06032 Ph: (860) 679-4600

Reviews and Comments

Dermatology Doctors in Farmington, CT

Philip E Kerr, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 21 South Rd, Dermatology, Farmington, CT 06032 Phone: 860-679-4600 Fax: 860-679-1248
Fludiona Naka, MD, MPH Dermatology Medicare: Medicare Enrolled Practice Location: 399 Farmington Ave Ste 260, Farmington, CT 06032 Phone: 860-676-7000
Adrienne B Berke, MD Dermatology Medicare: Medicare Enrolled Practice Location: 21 South Rd, Dermatoloty, Farmington, CT 06032 Phone: 860-679-4600 Fax: 860-679-1248
Diane L Whitaker, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4600 Fax: 860-679-1248
Dr. Arni Kjalar Kristjansson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 21 South Rd, Farmington, CT 06032 Phone: 860-679-3474 Fax: 860-679-1267
Jenna Bordelon Kelsey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 21 South Rd, Farmington, CT 06032 Phone: 860-679-4600 Fax: 860-679-3207
Diane Hoss, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4600

Ms Mary W Chang, MD - Medicare Dermatology in Farmington, CT