Chad R Mccollum, PA-C is a medicare enrolled "Radiology - Diagnostic Radiology" in Glendale, Arizona. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sonoran Radiology Ltd and his current practice location is
5605 W Eugie Ave Ste 110, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 847-2000.
Chad R Mccollum is licensed to practice in Arizona (license number 5259) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659620672.
Provider's Profile
| Full Name | Chad R Mccollum |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 12 Years |
|---|
| Location | 5605 W Eugie Ave Ste 110, Glendale, Arizona |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Chad R Mccollum graduated from nursing school in 2012
NPI Data:
- NPI Number: 1659620672
- Provider Enumeration Date: 09/05/2012
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214180199
- Enrollment ID: I20121228000099
Medical Identifiers
Medical identifiers for Chad R Mccollum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659620672 | NPI | - | NPPES |
| 744737 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 5259 (Arizona) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5259 (Arizona) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 5259 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonoran Radiology Ltd | 3375964505 | 367 |
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. Chad R Mccollum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chad R Mccollum, PA-C
2323 W Rose Garden Ln,
Phoenix, AZ 85027-2530
Ph: (623) 931-7999 | Chad R Mccollum, PA-C
5605 W Eugie Ave Ste 110,
Glendale, AZ 85304-1273
Ph: (623) 847-2000 |
Reviews and Comments