Kimberley W Chan, OD - Medicare Optometrist in Boston, MA

Kimberley W Chan, OD is a medicare enrolled "Optometrist - Pediatrics" provider in Boston, Massachusetts. Her current practice location is 243 Charles St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 573-4169.

Kimberley W Chan is licensed to practice in Massachusetts (license number 4522) 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 1104908458.

Contact Information

Kimberley W Chan, OD
243 Charles St,
Boston, MA 02114-3002
(617) 573-4169
Not Available



Healthcare Provider's Profile

Full NameKimberley W Chan
GenderFemale
SpecialityOptometrist - Pediatrics
Location243 Charles St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104908458
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4183658339
  • Enrollment ID: I20051004000535

Medical Identifiers

Medical identifiers for Kimberley W Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104908458NPI-NPPES
W16452OtherMABCBS PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WP0200XOptometrist - Pediatrics 4522 (Massachusetts)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. Kimberley W Chan allows following entities to bill medicare on her behalf.
Provider NameChildrens Hospital Ophthalmology Foundation Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1770679045
PECOS PAC ID: 8729049150
Enrollment ID: O20041020000189

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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. Kimberley W 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
Kimberley W Chan, OD
243 Charles St,
Boston, MA 02114-3002

Ph: (617) 573-4169
Kimberley W Chan, OD
243 Charles St,
Boston, MA 02114-3002

Ph: (617) 573-4169

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Optometrist in Boston, MA

Dr. Ying Zhou, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Boylston St, Target Optical, Boston, MA 02215
Phone: 857-654-5912    
Justine Pidgeon, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 400 Commonwealth Ave Ste 2, Boston, MA 02215
Phone: 617-426-0370    
Dr. Brittney Jaye Mazza, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 930 Commonwealth Ave, Suite 2a, Boston, MA 02215
Phone: 617-262-2020    
Boston Telehealth Inc.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 424 Beacon St, Boston, MA 02115
Phone: 617-834-3245    
Ms. Ceida P Chan, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 780 Albany St, Boston, MA 02118
Phone: 857-654-1000    Fax: 857-654-1100
Dr. Howard S Harrison, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 33 Broad St, Lobby, Boston, MA 02109
Phone: 617-742-7200    Fax: 617-742-7272
Dr. Doug Rett, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 150 S Huntington Ave, Optometry 8th Floor, Boston, MA 02130
Phone: 617-548-9208    

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