Mr Mike Syru Chiang, MD is a medicare enrolled "Urology" physician in Valdosta, Georgia. His current practice location is
3294 North Oak Street Ext., Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 241-1188.
Mr Mike Syru Chiang is licensed to practice in Georgia (license number 018627) 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 1720063100.
Physician's Profile
| Full Name | Mr Mike Syru Chiang |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 3294 North Oak Street Ext., Valdosta, Georgia |
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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: 1720063100
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 03/09/2012
Medicare PECOS Information:
- PECOS PAC ID: 6305905720
- Enrollment ID: I20081030000165
Medical Identifiers
Medical identifiers for Mr Mike Syru Chiang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720063100 | NPI | - | NPPES |
| 340005901 | Other | GA | MEDICARE RAILROAD |
| 000244791B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 018627 (Georgia) | 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. Mr Mike Syru Chiang allows following entities to bill medicare on his behalf.
| Entity Name | Urological Clinic Of Valdosta Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649491606 PECOS PAC ID: 1456419837 Enrollment ID: O20081029000625 |
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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. Mr Mike Syru Chiang 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 |
Mr Mike Syru Chiang, MD 3294 North Oak Street Ext, Valdosta, GA 31605 Ph: (229) 241-1188 | Mr Mike Syru Chiang, MD 3294 North Oak Street Ext., Valdosta, GA 31605 Ph: (229) 241-1188 |
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