Dr Wallen Cy Chan, MD - Medicare Gastroenterology in Staten Island, NY

Dr Wallen Cy Chan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Staten Island, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1989 and has 35 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Amboy Medical Practice Pc and his current practice location is 78 Todt Hill Rd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 448-1122.

Dr Wallen Cy Chan is licensed to practice in New York (license number 183203) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043287857.

Contact Information

Dr Wallen Cy Chan, MD
78 Todt Hill Rd,
Staten Island, NY 10314-4528
(718) 448-1122
(718) 448-8318



Physician's Profile

Full NameDr Wallen Cy Chan
GenderMale
SpecialityGastroenterology
Experience35 Years
Location78 Todt Hill Rd, Staten Island, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Wallen Cy Chan attended and graduated from Icahn School Of Medicine At Mount Sinai in 1989
  NPI Data:
  • NPI Number: 1043287857
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 04/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3971515040
  • Enrollment ID: I20060608000278

Medical Identifiers

Medical identifiers for Dr Wallen Cy Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043287857NPI-NPPES
01768538MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 183203 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Richmond University Medical CenterStaten island, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amboy Medical Practice Pc2860538170129

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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 Wallen Cy Chan allows following entities to bill medicare on his behalf.
Entity NameRichard A. Fazio Md, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447303128
PECOS PAC ID: 1153210570
Enrollment ID: O20060126000308

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Entity NameAmboy Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700037975
PECOS PAC ID: 2860538170
Enrollment ID: O20090930000024

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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 Wallen Cy 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 AddressPractice Location Address
Dr Wallen Cy Chan, MD
4 Airdale Dr,
Kendall Park, NJ 08824-1494

Ph: (718) 448-1122
Dr Wallen Cy Chan, MD
78 Todt Hill Rd,
Staten Island, NY 10314-4528

Ph: (718) 448-1122

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Internal Medicine Doctors in Staten Island, NY

Liliane Sarkis Deeb, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 4106 Hylan Blvd, Staten Island, NY 10308
Phone: 718-226-7855    Fax: 718-227-5814
Deepak Vadada, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1050 Clove Rd, Staten Island, NY 10301
Phone: 718-816-6440    Fax: 718-816-3611
Dr. Samantha Maria Lee, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-9510    Fax: 718-226-3473
Dr. Jean Chalhoub, M.D
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 475 Seaview Avenue, Department Of Internal Medicine, Staten Island, NY 10305
Phone: 718-226-8855    
Dr. Gustave Stephen Drivas, M.D.,
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 5405 Hylan Blvd, Staten Island, NY 10312
Phone: 718-948-3890    Fax: 718-948-3961
Dr. Beatrice Nogueira, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 475 Seaview Ave, Staten Island, NY 10305
Phone: 718-226-6902    Fax: 718-226-6844
Dr. Felicia Tenedios, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1200 South Ave Ste 204, Staten Island, NY 10314
Phone: 718-447-0055    Fax: 718-876-5212

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