Chad Eventide, MHS, PA-C is a medicare enrolled "Physician Assistant" in Laytonville, California. His current practice location is
50 Branscomb Rd, Laytonville, California. You can reach out to his office (for appointments etc.) via phone at
(707) 984-6131.
Chad Eventide is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043589419.
Provider's Profile
Full Name | Chad Eventide |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 50 Branscomb Rd, Laytonville, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043589419
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 12/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 5294999314
- Enrollment ID: I20180227000198
Medical Identifiers
Medical identifiers for Chad Eventide such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043589419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Chad Eventide 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 |
Chad Eventide, MHS, PA-C 89 Mill Creek Dr, Willits, CA 95490-3023 Ph: (919) 381-2222 | Chad Eventide, MHS, PA-C 50 Branscomb Rd, Laytonville, CA 95454 Ph: (707) 984-6131 |
Reviews and Comments