Mrs Cassondra Elizabeth Chaput, is a
Physician Assistant - Medical based in Russellville, Kentucky. Mrs Cassondra Elizabeth Chaput is licensed to practice in * (Not Available) (license number ) and her current practice location is
104 Kim Ct, Russellville, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(270) 987-1883.
NPI number for Mrs Cassondra Elizabeth Chaput is 1063938306 and her current mailing address is 104 Kim Ct, Russellville, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063938306.
Provider's Profile
| Full Name | Mrs Cassondra Elizabeth Chaput |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 104 Kim Ct, Russellville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063938306
- Provider Enumeration Date: 08/18/2017
- Last Update Date: 10/01/2024
Medical Identifiers
Medical identifiers for Mrs Cassondra Elizabeth Chaput such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063938306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (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. Mrs Cassondra Elizabeth Chaput 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 |
|---|
Mrs Cassondra Elizabeth Chaput,
104 Kim Ct,
Russellville, KY 42276-6445
Ph: (270) 987-1883 | Mrs Cassondra Elizabeth Chaput,
104 Kim Ct,
Russellville, KY 42276-6445
Ph: (270) 987-1883 |
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