Dr Georgene Bernice Chase, DDS is a
Dentist based in Mad River, California. Dr Georgene Bernice Chase is licensed to practice in California (license number 39138) and her current practice location is
321 Van Duzen Rd, Mad River, California. She can be reached at her office (for appointments etc.) via phone at
(707) 574-6616.
NPI number for Dr Georgene Bernice Chase is 1922110337 and her current mailing address is Po Box 4, Mad River, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922110337.
Healthcare Provider's Profile
Full Name | Dr Georgene Bernice Chase |
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Gender | Female |
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Speciality | Dentist |
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Location | 321 Van Duzen Rd, Mad River, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922110337
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 10/24/2019
Medical Identifiers
Medical identifiers for Dr Georgene Bernice Chase such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922110337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2676 (Nevada) | Secondary |
122300000X | Dentist | 39138 (California) | Primary |
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. Dr Georgene Bernice Chase is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Georgene Bernice Chase, DDS Po Box 4, Mad River, CA 95552-0004 Ph: (707) 574-6616 | Dr Georgene Bernice Chase, DDS 321 Van Duzen Rd, Mad River, CA 95526-9508 Ph: (707) 574-6616 |
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