Dr Chase Victor Conrad, LMHC is a medicare enrolled "Psychologist - Clinical" provider in Kihei, Hawaii. His current practice location is
1300 N Holopono St Ste 108, Kihei, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 206-9371.
Dr Chase Victor Conrad is licensed to practice in Florida (license number TPPY2904) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346869385.
Healthcare Provider's Profile
| Full Name | Dr Chase Victor Conrad |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1300 N Holopono St Ste 108, Kihei, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346869385
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284056896
- Enrollment ID: I20200626000599
Medical Identifiers
Medical identifiers for Dr Chase Victor Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346869385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | MHC-653 (Hawaii) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301019413 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | TPPY2904 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Chase Victor Conrad allows following entities to bill medicare on his behalf.
| Entity Name | Hamakua Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013993146
PECOS PAC ID: 8325940885
Enrollment ID: O20040123001043 |
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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. Dr Chase Victor Conrad 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 |
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Dr Chase Victor Conrad, LMHC
Po Box 1977,
Kihei, HI 96753-1977
Ph: (808) 206-9371 | Dr Chase Victor Conrad, LMHC
1300 N Holopono St Ste 108,
Kihei, HI 96753-6946
Ph: (808) 206-9371 |
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