Dr Jeffery L Chen, MD | |
530 Bogachiel Way, Forks, WA 98331-9120 | |
(360) 374-6271 | |
Not Available |
Full Name | Dr Jeffery L Chen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 530 Bogachiel Way, Forks, 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 |
---|---|---|---|
1962470138 | NPI | - | NPPES |
1302CH | Other | REGENCE BLUE SHIELD RIDER | |
8383812 | Medicaid | WA | |
P00177921 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2022008699 (Missouri) | Secondary |
207R00000X | Internal Medicine | MD21256 (Oregon) | Secondary |
208M00000X | Hospitalist | MD00043157 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake District Hospital | Lakeview, OR | Hospital |
Forks Community Hospital | Forks, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clallam County Public Hospital District No 1 | 1557256468 | 25 |
Lake Health District | 4284629221 | 18 |
Entity Name | South Sound Inpatient Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
Entity Name | Grays Harbor Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154378859 PECOS PAC ID: 3577462365 Enrollment ID: O20031231000081 |
Entity Name | Klickitat County Public Hospital District No1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467530915 PECOS PAC ID: 0648164269 Enrollment ID: O20040212000690 |
Entity Name | Clallam County Public Hospital District No 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20040219000309 |
Entity Name | Clallam County Public Hospital District No 1 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20051219000437 |
Entity Name | Klickitat County Public Hospital District No1 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1386689487 PECOS PAC ID: 0648164269 Enrollment ID: O20061104000262 |
Entity Name | Klickitat County Public Hospital District No1 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1093879975 PECOS PAC ID: 0648164269 Enrollment ID: O20070402000635 |
Entity Name | Capital Medical Center Specialty Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
Entity Name | Rural Physicians Group-pannu Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140909000184 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffery L Chen, MD 621 W Hemlock St, Sequim, WA 98382-3648 Ph: (360) 477-1885 | Dr Jeffery L Chen, MD 530 Bogachiel Way, Forks, WA 98331-9120 Ph: (360) 374-6271 |