Mr Earl Cephas Chester Jr, MD is a
Dermatology physician based in Pocatello, Idaho. Mr Earl Cephas Chester Jr is licensed to practice in Idaho (license number M3346) and his current practice location is 115 S 15th Ave, Pocatello, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 232-2106.
NPI number for Mr Earl Cephas Chester Jr is 1053469668 and his current mailing address is 115 S 15th Ave, Pocatello, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053469668.
Physician's Profile
| Full Name | Mr Earl Cephas Chester Jr |
|---|
| Gender | Male |
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| Speciality | Dermatology |
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| Location | 115 S 15th Ave, Pocatello, Idaho |
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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: 1053469668
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 04/17/2008
Medical Identifiers
Medical identifiers for Mr Earl Cephas Chester Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053469668 | NPI | - | NPPES |
| 1110276 | Other | ID | MEDICARE PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | M3346 (Idaho) | 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. Mr Earl Cephas Chester Jr 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 |
|---|
Mr Earl Cephas Chester Jr, MD
115 S 15th Ave,
Pocatello, ID 83201
Ph: (208) 232-2106 | Mr Earl Cephas Chester Jr, MD
115 S 15th Ave,
Pocatello, ID 83201
Ph: (208) 232-2106 |
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