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JACQUELINE W.L. CHAN M.D., PH.D.
NPI 1801094032
Psychiatry & Neurology - Neurology in Tracy, CA

Active since July 10, 2007PECOS EnrolledAccepts Medicare Assignment
447 W EATON AVE, TRACY, CA 95376(209) 830-4063 Get Directions Write a Review

NPPES record last updated: May 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline W.l. Chan M.d., Ph.d. NPPES

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

JACQUELINE W.L. CHAN M.D., PH.D. (NPI 1801094032) is an individual neurology provider in Tracy, California, licensed in California (A92182) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1801094032
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameJACQUELINE W.L. CHANCredential: M.D., PH.D.
Location Address447 W EATON AVETracy, CA 95376-3420
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211
Phone(209) 830-4063
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 10, 2007
Last NPPES UpdateMay 24, 2010
✔ NPI 1801094032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A92182
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
447 W EATON AVE, Tracy, CA 95376
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Other Identifiers 1

Medicare PINBE809ZCA

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

Jacqueline W.l. Chan M.d., Ph.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 ID5597828632
PECOS Enrollment IDI20090115000198
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
465 services179 patients
Injection, methylprednisolone sodium succinate, up to 125 mg J2930
Methylprednisolone sodium succinate is a steroid medication injected into a muscle or vein. It helps reduce inflammation and immune response. It's used for various conditions like allergies, arthritis, breathing problems, or skin diseases. It's important to follow your doctor's instructions.
114 services12 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
81 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 patients
Injection of anesthetic agent and/or steroid into upper neck and back of head nerve 64405
This procedure involves injecting a mix of anesthetic and/or steroid into nerves in the upper neck and back of the head. It helps relieve pain by reducing inflammation and numbing the area. It's a common treatment for headaches and neck pain.
56 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MEENAL AMISH SHAH M.D.
Internal Medicine (Nephrology)
447 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 830-4063
NUTRITION STUDIO
Nutritionist
447 W EATON AVE
TRACY, CA 95376
San Joaquin County (209) 832-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Chan's NPI number?

The NPI number for Jacqueline Chan is 1801094032. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Jacqueline Chan located?

Jacqueline Chan practices at 447 W Eaton Ave, Tracy, CA 95376. The listed phone number is (209) 830-4063.

What is Jacqueline Chan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jacqueline Chan enrolled in Medicare?

Yes. Jacqueline Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Chan was last updated on May 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.