Dr Patricia Meyer Chan, PHD in Glendale, WI - Medicare Psychologist Provider

Dr Patricia Meyer Chan, PHD is a medicare enrolled "Psychologist - Clinical" provider in Glendale, Wisconsin. Her current practice location is 5800 N Bay Shore Dr, Suite A250, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 962-6764.

Dr Patricia Meyer Chan is licensed to practice in Wisconsin (license number 2396057) 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 1215015193.

Contact Information

	Dr Patricia Meyer Chan, PHD
	5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217
	(414) 962-6764
	(414) 962-6765

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Patricia Meyer Chan
Gender	Female
Speciality	Psychologist - Clinical
Location	5800 N Bay Shore Dr, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215015193
Provider Enumeration Date: 11/01/2006
Last Update Date: 11/14/2012

Medicare PECOS Information:

PECOS PAC ID: 9032272711
Enrollment ID: I20090106000692

Medical Identifiers

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

Identifier	Type	State	Issuer
1215015193	NPI	-	NPPES
43575100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2396057 (Wisconsin)	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 Patricia Meyer Chan allows following entities to bill medicare on her behalf.

Entity Name	North Shore Psychotherapy Associates Iii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194809574 PECOS PAC ID: 4688737646 Enrollment ID: O20090116000521

Entity Name	North Shore Psychotherapy Associates Iv
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194809574 PECOS PAC ID: 7911287461 Enrollment ID: O20161129002490

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 Patricia Meyer 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 Patricia Meyer Chan, PHD 5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 Ph: (414) 962-6764	Dr Patricia Meyer Chan, PHD 5800 N Bay Shore Dr, Suite A250, Glendale, WI 53217 Ph: (414) 962-6764

Reviews and Comments

Psychologist in Glendale, WI

Dr. Christopher Joseph Daood, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 950 W Riverview Dr, Glendale, WI 53209 Phone: 414-617-3704
Dr. Caroline G Schmidt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217 Phone: 262-542-3255 Fax: 414-967-7965
Ted Terry Bruce, MSW LICSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Rd, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866
Robert L. Welker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 250 W Coventry Ct, Suite 209, Glendale, WI 53217 Phone: 414-351-7726 Fax: 414-351-7721
Ms. Mary Catherine Enderlin, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 Phone: 414-332-7400 Fax: 414-963-6866
Mr. Mike Zussman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5800 N Bayshore Dr Ste A250, Glendale, WI 53217 Phone: 414-962-6764 Fax: 414-962-6765

Dr Patricia Meyer Chan, PHD - Medicare Psychologist in Glendale, WI