Duane Chase, MD
Individual provider Active NPI Psychiatry Physician · Gallup, NM
NPI 1992844906 · NPPES record last updated Aug 10, 2012
Key facts
- NPI
- 1992844906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD2007-0779 (NM)
- Practice address
- 1510 Plateau Dr
Gallup, NM 87301-5021 - Phone
- (505) 722-3100
- Fax
- (505) 722-3100
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of New Mexico School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- DHHS,PHS,Naihs, Gallup Indian Medical Center
DHHS PHS Naihs Chinle Comprehensive Health Care Facility
Practice addresses (Care Compare)
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030
Hospital & facility affiliations
- Gallup Indian Medical Center
- Crownpoint Healthcare Facility
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.65 of 100
- Quality
- 68.3
- Improvement activities
- 40
- Cost
- 86.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.18 of 100
- Quality
- 61.12
- Improvement activities
- 40
- Cost
- 81.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081017000486 | TX | Practitioner - Psychiatry | 7719045806 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004-0375 | NM | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| Micmac Health Department | Current |
Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current |
Accepting new patients | |
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| Acoma Canoncito Laguna Indian | Past | Accepting new patients |
Locations
8 Northern Rd
Presque Isle, ME 04769
Phone (207) 764-1792
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2004-0375 | NM | |
| Psychiatry Physician | 2084P0800X | MD2007-0779 | NM | Yes |
Addresses
Primary practice location
1510 Plateau Dr
Gallup, NM 87301-5021
Mailing address
1510 Plateau Dr
Gallup, NM 87301-5021
Phone (505) 722-3100
Other providers in Gallup, NM
- John Chapman
- Gabrielle Ariana Charleston
- Ophelia Charleston
- Emerson Charley
- Paul William Charlton
- Renee Chase
- Jovanna Chavarria
- Olivia Chavez Busch
- Breanna Chavez
- Dariquetta Dorry Chavez
All providers in Gallup, NM · Psychiatry Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2012. 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.