Chad Gagnon, PA-C is a
Physician Assistant - Medical based in Smith River, California. Chad Gagnon is licensed to practice in California (license number PA10396) and his current practice location is
501 N Indian Rd, Smith River, California. He can be reached at his office (for appointments etc.) via phone at
(707) 487-0215.
NPI number for Chad Gagnon is 1568460665 and his current mailing address is 501 N Indian Rd, Smith River, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568460665.
Provider's Profile
Full Name | Chad Gagnon |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 501 N Indian Rd, Smith River, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568460665
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 07/16/2007
Medical Identifiers
Medical identifiers for Chad Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568460665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA10396 (California) | 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 Gagnon 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 Gagnon, PA-C 501 N Indian Rd, Smith River, CA 95567-9509 Ph: (707) 487-0215 | Chad Gagnon, PA-C 501 N Indian Rd, Smith River, CA 95567-9509 Ph: (707) 487-0215 |
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