Dr Samuel R Chacon, MD is a
Specialist physician based in Reno, Nevada. Dr Samuel R Chacon is licensed to practice in Nevada (license number 9105) and his current practice location is 540 W Plumb Ln Ste 200, Reno, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 870-1521.
NPI number for Dr Samuel R Chacon is 1215991856 and his current mailing address is 540 W Plumb Ln Ste 200, Reno, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215991856.
Physician's Profile
| Full Name | Dr Samuel R Chacon |
|---|
| Gender | Male |
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| Speciality | Specialist |
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| Location | 540 W Plumb Ln Ste 200, Reno, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215991856
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 03/11/2022
Medical Identifiers
Medical identifiers for Dr Samuel R Chacon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215991856 | NPI | - | NPPES |
| 002013064 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | 9105 (Nevada) | Secondary |
| 174400000X | Specialist | 9105 (Nevada) | 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 Samuel R Chacon 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 Samuel R Chacon, MD
540 W Plumb Ln Ste 200,
Reno, NV 89509-3683
Ph: (775) 870-1521 | Dr Samuel R Chacon, MD
540 W Plumb Ln Ste 200,
Reno, NV 89509-3683
Ph: (775) 870-1521 |
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