Marcos G Chavez Jr., PAC
Individual provider Active NPI Medical Physician Assistant · Wenatchee, WA
NPI 1497055040 · NPPES record last updated Mar 30, 2018
Key facts
- NPI
- 1497055040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA60191036 (WA)
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- Oct 29, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 35
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Washington Health Services Association
Klickitat County Public Hospital District No 1
Practice addresses (Care Compare)
1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208
1215 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 665-6087
310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151
933 Red Apple Rd
Wenatchee, WA 98801-3370
Phone (509) 663-8711
Hospital & facility affiliations
- Confluence Health Hospital
- Klickitat Valley Hospital
- Klickitat Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208000539 | WA | Practitioner - Physician Assistant | 5092902668 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current |
Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Current |
Accepting new patients | |
| Wenatchee Valley Hospital | Current |
Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Past | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients |
Locations
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Interoperability endpoints
- mchavez20049@edirect.chehr.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60191036 | WA | Yes |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other providers in Wenatchee, WA
- Kimberly Chapman
- Anna M Charbonneau
- Charles Walter Peterson O.D.
- Vickie Marie Collins Chase
- Brita Chavez
- Catalina Chavira-Lopez
- Paola J Chavira
- Lisa Cheek
- Chelan-Douglas Child Services Association
- Chelan-Douglas Community Action Council
All providers in Wenatchee, WA · Medical Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.