Chanel Marie Tangen Patana, in Chehalis, WA - Medicare Nurse Practitioner

Chanel Marie Tangen Patana, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Chehalis, Washington. Her current practice location is 2690 Ne Kresky Ave, Chehalis, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 330-9595.

Chanel Marie Tangen Patana is licensed to practice in Washington (license number AP60974097) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497317929.

Contact Information

	Chanel Marie Tangen Patana,
	2690 Ne Kresky Ave, Chehalis, WA 98532-2412
	(360) 330-9595
	(360) 330-9530

Map and Direction

Provider's Profile

Full Name	Chanel Marie Tangen Patana
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	2690 Ne Kresky Ave, Chehalis, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497317929
Provider Enumeration Date: 07/04/2019
Last Update Date: 03/01/2021

Medicare PECOS Information:

PECOS PAC ID: 4183038920
Enrollment ID: I20210205001899

Medical Identifiers

Medical identifiers for Chanel Marie Tangen Patana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497317929	NPI	-	NPPES
2133821	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP60974097 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chanel Marie Tangen Patana allows following entities to bill medicare on her behalf.

Entity Name	Lewis County Community Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899

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. Chanel Marie Tangen Patana 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
Chanel Marie Tangen Patana, 172 Holgate Ln, Chehalis, WA 98532-8964 Ph: (360) 880-4955	Chanel Marie Tangen Patana, 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595

Reviews and Comments

Nurse Practitioner Nurses in Chehalis, WA

Kelly Ann Lagervall, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 539 Us Highway 12, Chehalis, WA 98532 Phone: 253-350-5339
Jennifer O'brien, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560
Kalob K Rahn, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Se Washington Ave, Chehalis, WA 98532 Phone: 360-748-4776
Miss Marles Jean Geist, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Bishop Rd, Chehalis, WA 98532 Phone: 360-345-1381 Fax: 360-345-1382
Erin N Chase, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1299 Bishop Rd, Chehalis, WA 98532 Phone: 360-748-0211 Fax: 360-740-4170
Alena F Ponkratov, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595
Christiaan Collier, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595

Chanel Marie Tangen Patana, - Medicare Nurse Practitioner in Chehalis, WA