Evangelina Chan, MSW,LCSW - Medicare Psychiatry & Neurology in Bridgeport, CT

Evangelina Chan, MSW,LCSW is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Bridgeport, Connecticut. Her current practice location is 46 Albion St, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 330-6000.

Evangelina Chan is licensed to practice in New York (license number 081696-1) 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 1245576248.

Contact Information

Evangelina Chan, MSW,LCSW
46 Albion St,
Bridgeport, CT 06605-2602
(203) 330-6000
(203) 330-6008



Physician's Profile

Full NameEvangelina Chan
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location46 Albion St, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245576248
  • Provider Enumeration Date: 12/19/2012
  • Last Update Date: 03/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850533878
  • Enrollment ID: I20180328002174

Medical Identifiers

Medical identifiers for Evangelina Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245576248NPI-NPPES
008301OtherCTLICENSE
004236148MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 081696-1 (New York)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. Evangelina Chan allows following entities to bill medicare on her behalf.
Entity NameHenry Street Settlement
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629172036
PECOS PAC ID: 2567354756
Enrollment ID: O20080201000428

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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. Evangelina 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
Evangelina Chan, MSW,LCSW
4 W 125th St, Fl 2,
New York, NY 10027-4575

Ph: (212) 942-5615
Evangelina Chan, MSW,LCSW
46 Albion St,
Bridgeport, CT 06605-2602

Ph: (203) 330-6000

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Psychiatry & Neurology Doctors in Bridgeport, CT

Dr. Javier Lopez, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3897    Fax: 203-384-3950
Raj Kumari Bansal, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610
Phone: 203-384-3873    
Dr. Vanja Kondev, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 340 Capitol Ave, Bridgeport, CT 06606
Phone: 203-367-5589    Fax: 203-330-0838
Dr. Reginald Anthony Hoffler, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1106 North Ave, Bridgeport, CT 06604
Phone: 203-579-6131    Fax: 203-382-8464
Dr. Anthony Louis Labruzza, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610
Phone: 203-551-7660    Fax: 203-551-7481
Joy Reyes, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 267 Grant St, Bridgeport, CT 06610
Phone: 203-384-3897    Fax: 203-384-3950
Dr. David Arthur Carlson, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610
Phone: 203-551-7660    Fax: 203-551-7481

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