John Anthony Chanasue, MD is a
Dermatology physician based in Alton, Illinois. John Anthony Chanasue is licensed to practice in Illinois (license number ) and his current practice location is 307 Henry St, Ste 200, Alton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 463-9623.
NPI number for John Anthony Chanasue is 1972618387 and his current mailing address is 307 Henry St, Ste 200, Alton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972618387.
Physician's Profile
| Full Name | John Anthony Chanasue |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 307 Henry St, Alton, Illinois |
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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: 1972618387
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Anthony Chanasue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972618387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | (Illinois) | 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. John Anthony Chanasue 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 |
|---|
John Anthony Chanasue, MD
307 Henry St, Ste 200,
Alton, IL 62002-6326
Ph: (618) 463-9623 | John Anthony Chanasue, MD
307 Henry St, Ste 200,
Alton, IL 62002-6326
Ph: (618) 463-9623 |
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