Dr Micah Chan, DMD, MS in Richfield, MN - Medicare Dentist Provider

Dr Micah Chan, DMD, MS is a medicare enrolled "Dentist - Periodontics" provider in Richfield, Minnesota. His current practice location is 6601 Lyndale Ave S, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 243-9357.

Dr Micah Chan is licensed to practice in Minnesota (license number S99) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083083323.

Contact Information

	Dr Micah Chan, DMD, MS
	6601 Lyndale Ave S, Richfield, MN 55423-2477
	(612) 243-9357
	Not Available

Healthcare Provider's Profile

Full Name	Dr Micah Chan
Gender	Male
Speciality	Dentist - Periodontics
Location	6601 Lyndale Ave S, Richfield, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083083323
Provider Enumeration Date: 09/16/2015
Last Update Date: 09/16/2015

Medicare PECOS Information:

PECOS PAC ID: 5698077279
Enrollment ID: I20160113003088

Medical Identifiers

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

Identifier	Type	State	Issuer
1083083323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	S99 (Minnesota)	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. Dr Micah 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 Micah Chan, DMD, MS 8301 Stanley Rd, Apt #114, Bloomington, MN 55437-1282 Ph: (612) 910-6203	Dr Micah Chan, DMD, MS 6601 Lyndale Ave S, Richfield, MN 55423-2477 Ph: (612) 243-9357

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Dentist in Richfield, MN

Dr. Rebecca Leigh Benson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423 Phone: 612-866-1234
Dr. Mark Joseph Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 98 W 66th St, Richfield, MN 55423 Phone: 612-866-1005 Fax: 612-866-7805
Krista Jean Koehler, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6411 Richfield Pkwy, Richfield, MN 55423 Phone: 612-869-3440
Dr. Helen Haewon Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave. S. Suite 230, Richfield, MN 55423 Phone: 612-866-1234 Fax: 612-638-1232
Dr. Wallace Earl Lunden Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1404 East 66th Street, Richfield, MN 55423 Phone: 612-866-9622 Fax: 612-866-3877
Hugh John Murdoch, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6519 Nicollet Avenue South, Suite 304, Richfield, MN 55423 Phone: 612-866-9900 Fax: 612-866-9362

Dr Micah Chan, DMD, MS - Medicare Dentist in Richfield, MN