| Chad A Mongrain, DO | |
|
100 3rd St Ste 1, Davenport, WA 99122-5008 | |
| (509) 725-7501 | |
| (509) 725-7504 |
| Full Name | Chad A Mongrain |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 100 3rd St Ste 1, Davenport, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720028244 | NPI | - | NPPES |
| 1017260 | Medicaid | WA | |
| AB06402 | Other | WA | GROUP MEDICARE PIN |
| 8452310 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OP00002086 (Washington) | Secondary |
| 207Q00000X | Family Medicine | OP00002086 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health | Moses lake, WA | Home health agency |
| Lincoln Hospital | Davenport, WA | Hospital |
| Coulee Medical Center | Grand coulee, WA | Hospital |
| Deaconess Medical Center | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lincoln County Hospital District 3 | 3971591199 | 19 |
| Entity Name | Lincoln County Hospital District 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639113830 PECOS PAC ID: 3971591199 Enrollment ID: O20040505000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad A Mongrain, DO 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 | Chad A Mongrain, DO 100 3rd St Ste 1, Davenport, WA 99122-5008 Ph: (509) 725-7501 |
Donella S. Young, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 3rd St, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 | |
Benjamin Isaac Wainblat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Nicholls St, Davenport, WA 99122 Phone: 509-725-7101 | |
Rolf K. Panke, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 3rd St, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 | |
Dr. Frederick Joseph Reed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 3rd Street, Suite 1, Davenport, WA 99122 Phone: 509-725-7501 Fax: 509-725-7504 |