Mr Timothy Lee Chancellor, OD | |
241 E 3rd St, Chadron, NE 69337-2301 | |
(308) 432-3222 | |
(308) 432-5344 |
Full Name | Mr Timothy Lee Chancellor |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 31 Years |
Location | 241 E 3rd St, Chadron, Nebraska |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417916321 | NPI | - | NPPES |
9200330 | Medicaid | SD | |
9200333 | Medicaid | SD | |
4993076 | Other | SD | WELLMARK BCBS |
06923 | Other | NE | BCBS |
410046153 | Other | RR MEDICARE | |
9200332 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 621 (South Dakota) | Secondary |
152W00000X | Optometrist | 1051 (Nebraska) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chadron Vision Center, Inc. | 8123073574 | 2 |
Provider Name | Chadron Vision Center, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245226984 PECOS PAC ID: 8123073574 Enrollment ID: O20050317001024 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Lee Chancellor, OD 241 E 3rd St, Chadron, NE 69337-2301 Ph: (308) 432-3222 | Mr Timothy Lee Chancellor, OD 241 E 3rd St, Chadron, NE 69337-2301 Ph: (308) 432-3222 |
Devin J Davis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 139 W 3rd St, Chadron, NE 69337 Phone: 308-432-2200 Fax: 308-432-3616 | |
Black Hills Regional Eye Institute, Llp Optometrist Medicare: Medicare Enrolled Practice Location: 1640 Highway 20, Chadron, NE 69337 Phone: 605-341-2000 | |
Chadron Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 241 E 3rd St, Chadron, NE 69337 Phone: 308-432-3222 Fax: 308-432-5344 | |
Jordyn Stevens, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 139 W 3rd St, Chadron, NE 69337 Phone: 308-432-2200 Fax: 308-432-3616 | |
The Eye Company Optometrist Medicare: Medicare Enrolled Practice Location: 139 W 3rd St, Chadron, NE 69337 Phone: 308-432-2200 |