DR. JASON VICTOR CHANG M.D. - NPI 1124284708 - Psychiatry & Neurology in Schaumburg, IL

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

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About Dr. Jason Victor Chang M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON VICTOR CHANG M.D. (NPI 1124284708) is an individual child & adolescent psychiatry provider in Schaumburg, Illinois, licensed in Illinois (036-127321) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gibson City, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124284708

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JASON VICTOR CHANGCredential: M.D.

Location Address1701 E WOODFIELD ROAD, SUITE 1000Schaumburg, IL 60173-5113

Mailing Address1701 E Woodfield Road, Suite 1000Schaumburg, IL 60173-5113 · (847) 240-2211 · Fax (847) 240-2418

Phone(847) 240-2211

Fax(847) 240-2418

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 2, 2008

Last NPPES UpdateSeptember 15, 2020

NPPES CertifiedSeptember 15, 2020

✔ NPI 1124284708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in IL · 036-127321

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 125-054734 (IL)

1701 E WOODFIELD ROAD, Schaumburg, IL 60173

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Secondary Practice Location 1

Location 14 Doctors ParkGibson City, IL 60936-2000 · Phone (217) 784-4540

Other Identifiers 1

Other1633897IL · Bcbs Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Victor Chang M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244492015

PECOS Enrollment IDI20120424000735

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HENRY WILLIAM CROSSETTI DDS MS

Dentist (Periodontics)

1701 E WOODFIELD ROAD, SUITE 510
SCHAUMBURG, IL 60173

Cook County (847) 605-0280

DR. MICHAEL J CAMARA PSYD

Psychologist (Clinical)