Dr Jacob Petersen Chaffee, MD in Grand Coulee, WA

Dr Jacob Petersen Chaffee, MD is a medicare enrolled "Family Medicine" physician in Grand Coulee, Washington. He went to University Of Washington School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District and his current practice location is 411 Fortuyn Rd, Grand Coulee, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 633-1753.

Dr Jacob Petersen Chaffee is licensed to practice in Washington (license number MD00042597) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811983562.

Contact Information

	Dr Jacob Petersen Chaffee, MD
	411 Fortuyn Rd, Grand Coulee, WA 99133-8718
	(509) 633-1753
	(509) 633-1933

Map and Direction

Physician's Profile

Full Name	Dr Jacob Petersen Chaffee
Gender	Male
Speciality	Family Practice
Experience	23 Years
Location	411 Fortuyn Rd, Grand Coulee, 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.

Medical Education and Training:

Dr Jacob Petersen Chaffee attended and graduated from University Of Washington School Of Medicine in 2001

NPI Data:

NPI Number: 1811983562
Provider Enumeration Date: 09/27/2005
Last Update Date: 03/14/2018

Medicare PECOS Information:

PECOS PAC ID: 5799698403
Enrollment ID: I20031110000209

Medical Identifiers

Medical identifiers for Dr Jacob Petersen Chaffee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811983562	NPI	-	NPPES
1019674	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0000X	Obstetrics & Gynecology - Obstetrics	MD00042597 (Washington)	Secondary
207Q00000X	Family Medicine	MD00042597 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Coulee Medical Center	Grand coulee, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District	9335050285	22

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacob Petersen Chaffee allows following entities to bill medicare on his behalf.

Entity Name	Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181

Entity Name	Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1184844185 PECOS PAC ID: 9335050285 Enrollment ID: O20061104000547

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 Jacob Petersen Chaffee is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacob Petersen Chaffee, MD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1753	Dr Jacob Petersen Chaffee, MD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1753

Reviews and Comments

Family Medicine Doctors in Grand Coulee, WA

Jessica Lu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644
Jennifer Knox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933
Roy Allen Myers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-1933
Charles D Randolph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1911 Fax: 509-633-3644
Leah G Kobes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933

Dr Jacob Petersen Chaffee, MD - Medicare Family Practice in Grand Coulee, WA