| Dr David G Chase Sr, MD | |
|
100 Hospital St, Suite 300, Booneville, MS 38829-3354 | |
| (668) 728-2147 | |
| (662) 720-3050 |
| Full Name | Dr David G Chase Sr |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 48 Years |
| Location | 100 Hospital St, Booneville, Mississippi |
| 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 |
|---|---|---|---|
| 1588623532 | NPI | - | NPPES |
| 09015803 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 07824 (Mississippi) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 07824 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tippah County Hospital | Ripley, MS | Hospital |
| Baptist Memorial Hospital Booneville | Booneville, MS | Hospital |
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tippah County Hospital | 5193746709 | 21 |
| Entity Name | Magnolia Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699756445 PECOS PAC ID: 9739078460 Enrollment ID: O20040311001091 |
| Entity Name | Tippah County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891720009 PECOS PAC ID: 5193746709 Enrollment ID: O20051212000167 |
| Entity Name | Magnolia Hospitalist Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457547838 PECOS PAC ID: 4688752371 Enrollment ID: O20080422000173 |
| Entity Name | North Mississippi Pulmonology Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376764167 PECOS PAC ID: 3971676107 Enrollment ID: O20080722000402 |
| Entity Name | Tippah County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730578600 PECOS PAC ID: 5193746709 Enrollment ID: O20140811000295 |
| Entity Name | Tippah County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1649669516 PECOS PAC ID: 5193746709 Enrollment ID: O20140811000540 |
| Entity Name | Tippah County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174302574 PECOS PAC ID: 5193746709 Enrollment ID: O20250324002016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David G Chase Sr, MD 965 Ridge Lake Blvd, Memphis, TN 38120-9401 Ph: (901) 227-4692 | Dr David G Chase Sr, MD 100 Hospital St, Suite 300, Booneville, MS 38829-3354 Ph: (668) 728-2147 |
Dr. Thomas J Putnam, M. D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital St Ste 200, Booneville, MS 38829 Phone: 662-720-3000 Fax: 662-720-3069 | |
Michael Hancock, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N 1st St, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185 | |
Albert Vacheron, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 202 N 1st St, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185 | |
Dr. David N Greenhaw, M. D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 100 Hospital St Ste 200, Booneville, MS 38829 Phone: 662-720-3000 Fax: 662-720-3069 | |
Mr. Laurence L Dennis, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 202 N 1st St, Ste A, Booneville, MS 38829 Phone: 662-340-1138 Fax: 662-728-5185 |