Tia Marie Chase, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1124 Issued in SD

Practice address

111 4TH St SE
Huron, SD 57350-2509

Phone

(605) 352-8691

Fax

(605) 352-8704

NPI assigned

Nov 5, 2017

Last updated

Jan 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Sanford School of Medicine of University of South Dakota, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huron Regional Medical Center Hospital, Huron, SD, CCN 431335

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Health Care Inc

  dba Aurora County Clinic

  • Federally Qualified Health Center (FQHC)
  • Plankinton, SD
  • NPI 1356459382
  Medicare reassignment Care Compare group
• Huron Clinic Foundation LTD

  • Family Medicine Physician
  • Huron, SD
  • NPI 1184626962
  Medicare reassignment
• Horizon Health Care Inc

  dba Fort Thompson Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Thompson, SD
  • NPI 1225411945
  NPD
• Horizon Health Care Inc

  dba Horizon Health Care - CHW Facility

  • Community Health Worker
  • Howard, SD
  • NPI 1902549215
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Huron Regional Medical Center Inc

  • Critical Access Hospital
  • Huron, SD
  • NPI 1154312429
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1861904476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20357 404TH AVE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573506218",
            "telephone_number": "605-350-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 4TH ST SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502509",
            "telephone_number": "605-352-8691",
            "fax_number": "605-352-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015122",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph N Carr, DC
• Wayne H Carr, DC
• William Carr, DC
• Charles D. Hoffman, DDS, PC
• Benjamin John Chase
• Jerry W Chesley, PA
• Shirley Marie Chesney, RD LN
• Troy Clarambeau
• Coborns Inc (Coborn's Pharmacy #2024)
• Community Counseling Service

• Physician Assistant in Huron, SD
• Providers in Huron, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.