Timothy Chan Dpm is a 
Podiatrist - Foot & Ankle Surgery based in Weeki Wachee, Florida. Timothy Chan Dpm is licensed to practice in Florida (license number PO3400) and their current practice location is 
11375 Cortez Blvd, Weeki Wachee, Florida. It can be reached at their office (for appointments etc.) via phone at 
(352) 596-6632.
NPI number for Timothy Chan Dpm is 1104329747 and their current mailing address is 12180 28th St N, St Petersburg, Florida. Timothy Chan Dpm 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104329747.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Timothy Chan Dpm | 
|---|
| Type | Facility | 
|---|
| Speciality | Podiatrist - Foot & Ankle Surgery | 
|---|
| Location | 11375 Cortez Blvd, Weeki Wachee, Florida | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1104329747
- Provider Enumeration Date: 03/09/2018
- Last Update Date: 03/09/2018
 
		 
		 
Medical Identifiers
		Medical identifiers for Timothy Chan Dpm such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1104329747 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary | 
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO3400 (Florida) | Primary | 
		
		
			
			
			
		
		
		 
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. Timothy Chan Dpm is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Timothy Chan Dpm 12180 28th St N,
 St Petersburg, FL 33716-1820
 Ph: (727) 572-5449
 | Timothy Chan Dpm 11375 Cortez Blvd,
 Weeki Wachee, FL 34613-5409
 Ph: (352) 596-6632
 | 
		
		 
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