Chelane R Fackenthall, ARNP in Walla Walla, WA

Chelane R Fackenthall, ARNP is a medicare enrolled "Nurse Practitioner" in Walla Walla, Washington. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services - Washington and her current practice location is 301 W Poplar St, Suite 100, Walla Walla, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 522-5824.

Chelane R Fackenthall is licensed to practice in Washington (license number AP60111177) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699000901.

Contact Information

	Chelane R Fackenthall, ARNP
	301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858
	(509) 522-5824
	(509) 522-5738

Map and Direction

Provider's Profile

Full Name	Chelane R Fackenthall
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	301 W Poplar St, Walla Walla, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chelane R Fackenthall graduated from nursing school in 2009

NPI Data:

NPI Number: 1699000901
Provider Enumeration Date: 10/05/2009
Last Update Date: 05/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3274727888
Enrollment ID: I20101027001317

Medical Identifiers

Medical identifiers for Chelane R Fackenthall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699000901	NPI	-	NPPES
1699000901	Medicaid	WA
500616387	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN00151745 (Washington)	Secondary
363L00000X	Nurse Practitioner	AP60111177 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Mary Medical Center	Walla walla, WA	Hospital
Grande Ronde Hospital	La grande, OR	Hospital
Dayton General Hospital	Dayton, WA	Hospital
Wallowa Memorial Hospital	Enterprise, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services - Washington	2860552973	228

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. Chelane R Fackenthall allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services - Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478

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. Chelane R Fackenthall 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
Chelane R Fackenthall, ARNP Po Box 34439, Seattle, WA 98124-1439 Ph: () -	Chelane R Fackenthall, ARNP 301 W Poplar St, Suite 100, Walla Walla, WA 99362-2858 Ph: (509) 522-5824

Reviews and Comments

Nurse Practitioner Nurses in Walla Walla, WA

Patrick R Smart, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Sleep Medicine Center, Walla Walla, WA 99362 Phone: 509-522-5946 Fax: 509-522-5527
Delila C Ojeda, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010
Hyunjin Eo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1017 S 2nd Ave Ste 1, Walla Walla, WA 99362 Phone: 509-398-9699
Ms. Leikin Louise Patrick, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 Chase Ave, Walla Walla, WA 99362 Phone: 509-897-3333
Emily Grace Castillo, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Mary Buriani, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8151 Fax: 509-527-8010
Susan D Collins, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010

Chelane R Fackenthall, ARNP - Medicare Nurse Practitioner in Walla Walla, WA