Chad A Mongrain, DO | |
100 3rd St Ste 1, Davenport, WA 99122-5008 | |
(509) 725-7501 | |
(509) 725-7504 |
Full Name | Chad A Mongrain |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 100 3rd St Ste 1, Davenport, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720028244 | NPI | - | NPPES |
1017260 | Medicaid | WA | |
AB06402 | Other | WA | GROUP MEDICARE PIN |
8452310 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | OP00002086 (Washington) | Secondary |
207Q00000X | Family Medicine | OP00002086 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lincoln Hospital | Davenport, WA | Hospital |
Coulee Medical Center | Grand coulee, WA | Hospital |
Deaconess Medical Center | Spokane, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lincoln County Hospital District 3 | 3971591199 | 17 |
Entity Name | Lincoln County Hospital District 3 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639113830 PECOS PAC ID: 3971591199 Enrollment ID: O20040505000483 |
Mailing Address | Practice Location Address |
---|---|
Chad A Mongrain, DO 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 | Chad A Mongrain, DO 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 |
Donella S. Young, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 3rd St, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 | |
Dr. Frederick Joseph Reed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 3rd Street, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 |