Michael W Chancellor, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Daytona Beach Shores, Florida. His current practice location is
3425 S Atlantic Ave Apt 906, Daytona Beach Shores, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 561-6357.
Michael W Chancellor is licensed to practice in Florida (license number ME47961) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790893782.
Physician's Profile
| Full Name | Michael W Chancellor |
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| Gender | Male |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790893782
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103817564
- Enrollment ID: I20040524000477
Medical Identifiers
Medical identifiers for Michael W Chancellor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790893782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0001X | Radiology - Radiation Oncology | ME47961 (Florida) | 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. Michael W Chancellor allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Urology Institute Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023447935 PECOS PAC ID: 2163653585 Enrollment ID: O20140328000990 |
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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 W Chancellor 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 W Chancellor, MD 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, FL 32118-6363 Ph: (352) 561-6357 | Michael W Chancellor, MD 3425 S Atlantic Ave Apt 906, Daytona Beach Shores, FL 32118-6363 Ph: (352) 561-6357 |
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