Chanel Marie Tangen Patana, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Napavine, Washington. Her current practice location is
375 Linhart Ave Ne Ste A, Napavine, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 745-2736.
Chanel Marie Tangen Patana is licensed to practice in Washington (license number AP60974097) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497317929.
Provider's Profile
| Full Name | Chanel Marie Tangen Patana |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 375 Linhart Ave Ne Ste A, Napavine, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497317929
- Provider Enumeration Date: 07/04/2019
- Last Update Date: 09/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183038920
- Enrollment ID: I20210205001899
Medical Identifiers
Medical identifiers for Chanel Marie Tangen Patana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497317929 | NPI | - | NPPES |
| 2133821 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | AP60974097 (Washington) | Primary |
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. Chanel Marie Tangen Patana allows following entities to bill medicare on her behalf.
| Entity Name | Lewis County Community Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134164692
PECOS PAC ID: 6002803749
Enrollment ID: O20040426001899 |
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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. Chanel Marie Tangen Patana 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 |
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Chanel Marie Tangen Patana,
172 Holgate Ln,
Chehalis, WA 98532-8964
Ph: (360) 880-4955 | Chanel Marie Tangen Patana,
375 Linhart Ave Ne Ste A,
Napavine, WA 98565-1527
Ph: (360) 745-2736 |
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