Mrs Jessica Lyn Chan, APRN in New London, CT - Medicare Nurse Practitioner

Mrs Jessica Lyn Chan, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in New London, Connecticut. Her current practice location is 74 Grove St, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 447-6070.

Mrs Jessica Lyn Chan is licensed to practice in Connecticut (license number 5804) 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 1174937114.

Contact Information

	Mrs Jessica Lyn Chan, APRN
	74 Grove St, New London, CT 06320-6515
	(860) 447-6070
	(860) 443-6616

Map and Direction

Provider's Profile

Full Name	Mrs Jessica Lyn Chan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	74 Grove St, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174937114
Provider Enumeration Date: 06/18/2014
Last Update Date: 09/10/2018

Medicare PECOS Information:

PECOS PAC ID: 5890171243
Enrollment ID: I20221007002195

Medical Identifiers

Medical identifiers for Mrs Jessica Lyn Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174937114	NPI	-	NPPES
008054046	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	5804 (Connecticut)	Primary
163WP0200X	Registered Nurse - Pediatrics	94495 (Connecticut)	Secondary

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. Mrs Jessica Lyn Chan allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Agency Of Southeastern Connecticut, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225797921 PECOS PAC ID: 2163756982 Enrollment ID: O20220426001904

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. Mrs Jessica Lyn 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
Mrs Jessica Lyn Chan, APRN 999 Foxon Road, Suite 36, North Branford, CT 06471 Ph: (203) 484-7334	Mrs Jessica Lyn Chan, APRN 74 Grove St, New London, CT 06320-6515 Ph: (860) 447-6070

Reviews and Comments

Nurse Practitioner Nurses in New London, CT

Mr. Stephen Daniel Socha, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Mrs. Susan H. Austen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Mohegan Ave,, New London, CT 06320 Phone: 860-437-3611 Fax: 860-437-1801
Eliza C Spears, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 254 Hempstead St, New London, CT 06320 Phone: 860-437-4550
Melissa Milvenan, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Shaws Cv, New London, CT 06320 Phone: 860-447-8304
Emily Antonia Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 234a Bank St, New London, CT 06320 Phone: 860-442-0290
Ms. Eileen Joy Odonnell, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 345 Montauk Ave, New London, CT 06320 Phone: 860-444-6711 Fax: 860-437-0650
Katherine Joanne Luther, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-5114

Mrs Jessica Lyn Chan, APRN - Medicare Nurse Practitioner in New London, CT