Dr Doylene Chan, PHD in San Jose, CA - Medicare Psychologist Provider

Dr Doylene Chan, PHD is a medicare enrolled "Psychologist - Counseling" provider in San Jose, California. Her current practice location is 105 N Bascom Ave, Suite 202, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 475-1011.

Dr Doylene Chan is licensed to practice in California (license number 23344) 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 1881977502.

Contact Information

	Dr Doylene Chan, PHD
	105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811
	(408) 475-1011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Doylene Chan
Gender	Female
Speciality	Psychologist - Counseling
Location	105 N Bascom Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881977502
Provider Enumeration Date: 09/20/2011
Last Update Date: 09/20/2011

Medicare PECOS Information:

PECOS PAC ID: 0143752139
Enrollment ID: I20241015004105

Medical Identifiers

Medical identifiers for Dr Doylene Chan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881977502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	23344 (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 Doylene Chan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Doylene 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 Doylene Chan, PHD 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 Ph: (408) 475-1011	Dr Doylene Chan, PHD 105 N Bascom Ave, Suite 202, San Jose, CA 95128-1811 Ph: (408) 475-1011

Reviews and Comments

Psychologist in San Jose, CA

Dr. Rethel E. Gill, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1927 Otoole Way, San Jose, CA 95131 Phone: 707-861-8276
Marie Roman-clifton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Psychology Services-pm&r, San Jose, CA 95128 Phone: 408-885-4445
Dr. Jennifer Gregg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dept Of Psychology, One Washington Square, San Jose, CA 95192 Phone: 650-743-7230
Ms. Nicole Alvarez Bautista, BA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Moorpark Ave, San Jose, CA 95128 Phone: 408-975-2730
Maritza Aguilar, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3235 Union Ave, San Jose, CA 95124 Phone: 408-626-3405
Mr. Donald B Dufford, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3880 S Bascom Ave, Suite 212, San Jose, CA 95124 Phone: 408-559-9088 Fax: 408-377-7833
Dr. Sepideh Afrakhteh Katz, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Road, San Jose, CA 95134 Phone: 408-451-6198

Dr Doylene Chan, PHD - Medicare Psychologist in San Jose, CA