Michael Keewook Chang, MD is a medicare enrolled "Hospitalist" physician in Paoli, Pennsylvania. He went to Loma Linda University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Main Line Healthcare and his current practice location is
255 W Lancaster Ave, Paoli, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(484) 565-1510.
Michael Keewook Chang is licensed to practice in Pennsylvania (license number MD477395) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356900930.
Physician's Profile
Full Name | Michael Keewook Chang |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 5 Years |
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Location | 255 W Lancaster Ave, Paoli, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Keewook Chang attended and graduated from Loma Linda University School Of Medicine in 2019
NPI Data:
- NPI Number: 1356900930
- Provider Enumeration Date: 06/07/2019
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769861723
- Enrollment ID: I20220622000267
Medical Identifiers
Medical identifiers for Michael Keewook Chang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356900930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD477395 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | MD477395 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Main Line Healthcare | 1951215201 | 894 |
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. Michael Keewook Chang allows following entities to bill medicare on his behalf.
Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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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. Michael Keewook 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 |
Michael Keewook Chang, MD 255 W Lancaster Ave, Paoli, PA 19301-1763 Ph: (484) 565-1510 | Michael Keewook Chang, MD 255 W Lancaster Ave, Paoli, PA 19301-1763 Ph: (484) 565-1510 |
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