Malaika Rochelle Chaney, CNP | |
5193 W Broad St Ste 200, Columbus, OH 43228-1695 | |
(614) 544-1450 | |
(614) 544-1451 |
Full Name | Malaika Rochelle Chaney |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 5193 W Broad St Ste 200, Columbus, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932704848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | APRN.CNP.0027748 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0027748 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Third Street Community Clinic, Inc. | 2365423977 | 28 |
Entity Name | Third Street Community Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649599119 PECOS PAC ID: 2365423977 Enrollment ID: O20040528000770 |
Entity Name | Third Street Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1336252519 PECOS PAC ID: 2365423977 Enrollment ID: O20071009000076 |
Entity Name | Third Street Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720407554 PECOS PAC ID: 2365423977 Enrollment ID: O20141020001750 |
Entity Name | Third Street Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972053452 PECOS PAC ID: 2365423977 Enrollment ID: O20161212001804 |
Entity Name | Third Street Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306499314 PECOS PAC ID: 2365423977 Enrollment ID: O20200420003356 |
Mailing Address | Practice Location Address |
---|---|
Malaika Rochelle Chaney, CNP Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Malaika Rochelle Chaney, CNP 5193 W Broad St Ste 200, Columbus, OH 43228-1695 Ph: (614) 544-1450 |