Chasen Kenneth Halcomb, is a medicare enrolled "Physician Assistant" in Soddy Daisy, Tennessee. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice La Laser Center Pc A Professional Medical Corporation and his current practice location is
10298 Walden St, Soddy Daisy, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(412) 712-9301.
Chasen Kenneth Halcomb is licensed to practice in Tennessee (license number 5948) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689184616.
Provider's Profile
| Full Name | Chasen Kenneth Halcomb |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 10298 Walden St, Soddy Daisy, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chasen Kenneth Halcomb graduated from nursing school in 2017
NPI Data:
- NPI Number: 1689184616
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416214994
- Enrollment ID: I20171208001742
Medical Identifiers
Medical identifiers for Chasen Kenneth Halcomb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689184616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 5948 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| La Laser Center Pc A Professional Medical Corporation | 9537181185 | 66 |
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. Chasen Kenneth Halcomb 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 |
|---|
Chasen Kenneth Halcomb,
10298 Walden St,
Soddy Daisy, TN 37379-5152
Ph: (412) 712-9301 | Chasen Kenneth Halcomb,
10298 Walden St,
Soddy Daisy, TN 37379-5152
Ph: (412) 712-9301 |
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