Jacqueline Chan
M.D. | Pediatric Endocrinology | Female
Jacqueline Chan, M.D. is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Endocrinology.
Current practice location of Jacqueline Chan is
1120 15th St, Augusta, Georgia - 30912-7232. She can be contacted on phone at
706-721-8623.
Jacqueline Chan is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Chan is
1356735914 which was assigned by NPPES on 22 Mar, 2015 and it was last updated on 21 Jul, 2022.
Jacqueline Chan license number is
079530 for Pediatrics Pediatric Endocrinology (2080P0205X) in Georgia.
Jacqueline Chan provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Complete Profile:
Jacqueline Chan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Endocrinology |
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| Provider Name : | Jacqueline Chan |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Jacqueline Chan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-7232
United States |
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| Phone Number : | 706-721-8623 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356735914 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Mar, 2015 |
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| Last Updated On : | 21 Jul, 2022 |
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Medicare Participation:
Jacqueline Chan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2466761648 |
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| Medicare Enrollment ID : | I20180628002752 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2009 |
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| Accepts Medicare? | Yes. Jacqueline Chan accepts medicare insurance. |
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Group Practice Association:
Jacqueline Chan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacqueline Chan is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Au Medical Associates Inc | 9931013513 | 577 | 1120 15th St
Augusta, GA - 309120004
Ph: 7067216029 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Chan are as mentioned. Primary taxonomy code for Jacqueline Chan, M.D. is
2080P0205X (Pediatrics Pediatric Endocrinology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0205X | Pediatrics Pediatric Endocrinology | Yes | 079530 | GA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1740 W TAYLOR ST,
CHICAGO, IL, 60612-7232
United States | CHICAGO, IL | 866-600-2273 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1499 Walton Way, Ste 1400
Augusta, GA, 30901-2603
United States Minor Outlying Islands |
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Business Location:
Patients can refer following map for directions to
Jacqueline Chan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.