| Christopher A Chesnut, MD | |
| 
					1915 Lake Ave, Plymouth, IN 46563-9366  | |
| (574) 523-3160 | |
| Not Available | 
| Full Name | Christopher A Chesnut | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1915 Lake Ave, Plymouth, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144634742 | NPI | - | NPPES | 
| 300002322 | Medicaid | IN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01078314A (Indiana) | Primary | 
| Entity Name | Elite Emergency Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932155371 PECOS PAC ID: 8022087642 Enrollment ID: O20040930000456  | 
| Entity Name | Cep America Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christopher A Chesnut, MD 600 East Blvd, Attn Er Dept, Elkhart, IN 46514-2483 Ph: (574) 523-3160  | Christopher A Chesnut, MD 1915 Lake Ave, Plymouth, IN 46563-9366 Ph: (574) 523-3160  | 
Dr. William T. Correll, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 106, Plymouth, IN 46563 Phone: 574-335-5220 Fax: 574-335-0859  | |
Dr. Dinesh C Shah, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 575-935-2521 Fax: 574-935-2250  |