Dr Jennifer Tze-kei Chan, OD in San Dimas, CA - Medicare Optometrist Provider

Dr Jennifer Tze-kei Chan, OD is a medicare enrolled "Optometrist" provider in San Dimas, California. Her current practice location is 120 W Bonita Ave Ste A, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 599-1100.

Dr Jennifer Tze-kei Chan is licensed to practice in California (license number 34409TLG) 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 1447734439.

Contact Information

	Dr Jennifer Tze-kei Chan, OD
	120 W Bonita Ave Ste A, San Dimas, CA 91773-5000
	(909) 599-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jennifer Tze-kei Chan
Gender	Female
Speciality	Optometrist
Location	120 W Bonita Ave Ste A, San Dimas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447734439
Provider Enumeration Date: 09/17/2018
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3577996362
Enrollment ID: I20191209003035

Medical Identifiers

Medical identifiers for Dr Jennifer Tze-kei Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447734439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT-002275 (Arizona)	Secondary
152W00000X	Optometrist	34409TLG (California)	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. Dr Jennifer Tze-kei Chan allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Dr Jennifer Tze-kei 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
Dr Jennifer Tze-kei Chan, OD 1080 S Oak Knoll Ave, Pasadena, CA 91106-4439 Ph: (626) 215-7655	Dr Jennifer Tze-kei Chan, OD 120 W Bonita Ave Ste A, San Dimas, CA 91773-5000 Ph: (909) 599-1100

Reviews and Comments

Optometrist in San Dimas, CA

Melissa Zhao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave, San Dimas, CA 91773 Phone: 909-394-0462
Dr. Abigayle Ancheta Gutierrez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100
Dr. Elizabeth M Tsay, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773 Phone: 909-394-0462
Justin Hua, Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Lone Hill Ave, San Dimas, CA 91773 Phone: 909-962-5518
Dr. Grant Andrew Paul, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-5666
San Dimas Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 120 W Bonita Ave, Ste A, San Dimas, CA 91773 Phone: 909-599-1100 Fax: 909-394-1743

Dr Jennifer Tze-kei Chan, OD - Medicare Optometrist in San Dimas, CA