Chantee I Wyatt, PA is a medicare enrolled "Physician Assistant" in Preston, Idaho. Her current practice location is
47 N 1st E, Preston, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 852-2900.
Chantee I Wyatt is licensed to practice in Idaho (license number PA-1182) 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 1104135326.
Provider's Profile
Full Name | Chantee I Wyatt |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 47 N 1st E, Preston, Idaho |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104135326
- Provider Enumeration Date: 10/05/2010
- Last Update Date: 07/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466641311
- Enrollment ID: I20141017002312
Medical Identifiers
Medical identifiers for Chantee I Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104135326 | NPI | - | NPPES |
PA-1182 | Other | ID | PHYSICIAN ASSISTANT LICENSE |
1104135326 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA-1182 (Idaho) | Primary |
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. Chantee I Wyatt 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 |
Chantee I Wyatt, PA 44 N 1st E, Preston, ID 83263-1326 Ph: (208) 852-3660 | Chantee I Wyatt, PA 47 N 1st E, Preston, ID 83263 Ph: (208) 852-2900 |
Reviews and Comments