| Benjamin Michael Chalstrom, PA-C | |
|
1855 Tanner Way Ste 220, Harriman, TN 37748-8332 | |
| (865) 882-2442 | |
| (865) 374-2123 |
| Full Name | Benjamin Michael Chalstrom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1855 Tanner Way Ste 220, Harriman, Tennessee |
| 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 |
|---|---|---|---|
| 1134833445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5396 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dx Mso Pllc | 7719131101 | 88 |
| Entity Name | DX Mso PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Michael Chalstrom, PA-C 1855 Tanner Way Ste 220, Harriman, TN 37748-8332 Ph: (865) 882-2442 | Benjamin Michael Chalstrom, PA-C 1855 Tanner Way Ste 220, Harriman, TN 37748-8332 Ph: (865) 882-2442 |
Gregory T Morgan Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8045 Roane Medical Center Dr, Harriman, TN 37748 Phone: 180-046-5320 |
Melissa Y Benton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 412 Devonia St, Harriman, TN 37748 Phone: 865-882-4112 |
Douglas Marley Clark, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748 Phone: 865-590-0072 Fax: 865-590-0069 |