Frederick Marland Chancellor Iii, MD in Mukilteo, WA

Frederick Marland Chancellor Iii, MD is a medicare enrolled "Family Medicine" physician in Mukilteo, Washington. He went to Ohio State University College Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Polyclinic Pllc, Select Outpatient Services Inc, Select Rehabilitation Llc and his current practice location is 4410 106th St Sw, Mukilteo, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 258-3900.

Frederick Marland Chancellor Iii is licensed to practice in Washington (license number MD60553847) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700959780.

Contact Information

	Frederick Marland Chancellor Iii, MD
	4410 106th St Sw, Mukilteo, WA 98275-4700
	(425) 258-3900
	Not Available

Map and Direction

Physician's Profile

Full Name	Frederick Marland Chancellor Iii
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	4410 106th St Sw, Mukilteo, 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.

Medical Education and Training:

Frederick Marland Chancellor Iii attended and graduated from Ohio State University College Of Medicine in 1998

NPI Data:

NPI Number: 1700959780
Provider Enumeration Date: 11/16/2006
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8628215001
Enrollment ID: I20150724011357

Medical Identifiers

Medical identifiers for Frederick Marland Chancellor Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700959780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A74311 (California)	Secondary
207Q00000X	Family Medicine	MD60553847 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Polyclinic Pllc	2163328196	314
Select Outpatient Services Inc	4082868815	606
Select Rehabilitation Llc	9032020490	1538

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. Frederick Marland Chancellor Iii allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

Entity Name	The Polyclinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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. Frederick Marland Chancellor Iii 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
Frederick Marland Chancellor Iii, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900	Frederick Marland Chancellor Iii, MD 4410 106th St Sw, Mukilteo, WA 98275-4700 Ph: (425) 258-3900

Reviews and Comments

Family Medicine Doctors in Mukilteo, WA

Christoper J Bibby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6015
Marcia H Saul, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-339-6000
Dr. Ramin Baimaninejad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4112 Harbour Pointe Blvd Sw Ste 100, Mukilteo, WA 98275 Phone: 425-347-6330
John Mark Beard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000
Stephen S Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6000 Fax: 425-493-6025
Stephen Dahlberg, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004
Julie K Brogren, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4410 106th St Sw, Mukilteo, WA 98275 Phone: 425-493-6004 Fax: 425-493-6014

Frederick Marland Chancellor Iii, MD - Medicare Family Practice in Mukilteo, WA