| Kelli A Chase, MD | |
|
10 Woodland Rd, Saint Helena, CA 94574-9554 | |
| (707) 963-6288 | |
| (310) 698-7054 |
| Full Name | Kelli A Chase |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 28 Years |
| Location | 10 Woodland Rd, Saint Helena, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316043698 | NPI | - | NPPES |
| 12237 | Other | NV | PHYSICIAN LICENSE |
| DR-48660 | Other | CO | PHYSICIAN LICENSE |
| 742025-1205 | Other | UT | PHYSICIAN LICENSE |
| A69298 | Other | CA | PHYSICIAN LICENSE |
| 268179 | Other | NY | PHYSICIAN LICENSE |
| MD184780 | Other | OR | PHYSICIAN LICENSE |
| 36223 | Other | AZ | PHYSICIAN LICENSE |
| 00A692980 | Medicaid | CA | |
| 7420275-1205 | Other | UT | PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | A69298 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Pathology Associates | 7012902539 | 45 |
| Austin Pathology Associates | 7012902539 | 45 |
| Entity Name | Austin Pathology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538172028 PECOS PAC ID: 7012902539 Enrollment ID: O20070207000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli A Chase, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Kelli A Chase, MD 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (707) 963-6288 |
David F. Jadwin, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-6483 Fax: 707-967-5684 |