Dr Chauntelle Vidinha, DO in Kingman, AZ

Dr Chauntelle Vidinha, DO is a medicare enrolled "Family Medicine" physician in Kingman, Arizona. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2017 and has 7 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Skin Docs and her current practice location is 3269 N Stockton Hill Rd, Kingman, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 757-2101.

Dr Chauntelle Vidinha is licensed to practice in Arizona (license number 008625) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588193627.

Contact Information

	Dr Chauntelle Vidinha, DO
	3269 N Stockton Hill Rd, Kingman, AZ 86409-3619
	(928) 757-2101
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Chauntelle Vidinha
Gender	Female
Speciality	Dermatology
Experience	7 Years
Location	3269 N Stockton Hill Rd, Kingman, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Chauntelle Vidinha attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2017

NPI Data:

NPI Number: 1588193627
Provider Enumeration Date: 06/11/2017
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 6901220300
Enrollment ID: I20221025003199

Medical Identifiers

Medical identifiers for Dr Chauntelle Vidinha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588193627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	008625 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Skin Docs	8820427719	3

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 Chauntelle Vidinha allows following entities to bill medicare on her behalf.

Entity Name	Skin Docs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538708573 PECOS PAC ID: 8820427719 Enrollment ID: O20200327001503

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 Chauntelle Vidinha 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
Dr Chauntelle Vidinha, DO 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 Ph: (928) 753-9629	Dr Chauntelle Vidinha, DO 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101

Reviews and Comments

Family Medicine Doctors in Kingman, AZ

Ashley Marie Eyer, Family Medicine Medicare: Medicare Enrolled Practice Location: 2668 Hualapai Mountain Rd, Kingman, AZ 86401 Phone: 928-718-7300
Ted Edward Zegarra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409 Phone: 928-692-3456 Fax: 928-692-7071
Matthew Bell, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-681-8701
Dr. Kenneth Douglas Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401 Phone: 928-692-3456 Fax: 928-692-7071
Karleen Carol Adams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4722 Fax: 928-263-4794
Tadesse Kebede Debele, MD, MS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2202 N Stockton Hill Rd Ste 101, Kingman, AZ 86401 Phone: 702-877-5199 Fax: 702-431-0265
Kirsten Mortenson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3636 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-4398 Fax: 928-757-7224

Dr Chauntelle Vidinha, DO - Medicare Dermatology in Kingman, AZ