Chad Eventide, MHS, PA-C is a
Physician Assistant based in Laytonville, California. Chad Eventide is licensed to practice in * (Not Available) (license number ) and his current practice location is
50 Branscomb Rd, Laytonville, California. He can be reached at his office (for appointments etc.) via phone at
(707) 984-6131.
NPI number for Chad Eventide is 1043589419 and his current mailing address is 89 Mill Creek Dr, Willits, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043589419.
Provider's Profile
| Full Name | Chad Eventide |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 50 Branscomb Rd, Laytonville, California |
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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: 1043589419
- Provider Enumeration Date: 12/14/2011
- Last Update Date: 12/14/2011
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
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 |
|---|
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 |
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